(These questions ask about your own health care.  Please answer questions according to your most recent office visit.  Please only consider care received from our Morehead City and Swansboro offices. Do NOT consider care received from other healthcare facilities) (This survey is anonymous)

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* 1. Choose the provider that you received care from at your last appointment.

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* 2. Which location was your last appointment?

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* 3. How long have you been seeing this healthcare provider?

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* 4. At your most recent appointment, did you feel that the office clerks and receptionists treated you with courtesy and respect?

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* 5. When scheduling your follow up appointment, was your appointment scheduled quickly and within a reasonable time frame?

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* 6. How long was your wait for your most recent appointment? (This includes the time spent in the waiting room after checking in up to seeing your healthcare provider in the exam room)

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* 7. At your most recent appointment, did anyone verify all the prescription and over-the-counter medicines you are taking?

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* 8. When prescribed a medication by your healthcare provider, were you informed on how to properly take your medication?

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* 9. At your most recent appointment, did you feel your healthcare provider was respectful, listened to you carefully, and explained information about your questions and concerns in a way that was easy for you to understand?

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* 10. At your most recent appointment, did you feel that the lab assistant that did your intake was respectful and courteous?

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* 11. At your most recent appointment, were you informed on how to sign up for your patient portal to view your medical records?

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* 12. What is your age?

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* 13. What is your race? Mark one or more.

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* 14. How did hear about our office?

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* 15. What can we improve on? If you would like a return call concerning your appointment, please enter your name and contact information and someone will contact you.

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