THIS IS A CONFIDENTIAL SURVEY; PLEASE DO NOT PROVIDE YOUR NAME ON THE SURVEY

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* 1. Select where or how you had YOUR most recent visit. 

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* 2. What type of visit was it? Check all that apply.

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* 3. Additional Visit Information

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* 4. When do you prefer scheduling your appointments at WFP?

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* 5. Would you use Saturday appointments if we provided them?

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* 6. When you call WFP to make an appointment or to ask a question, how often is your call answered in a timely manner?

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* 7. Regarding your most recent visit or phone call, was the staff who assisted you friendly, helpful, and courteous? Mark only one.

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* 8. Have you recently had to seek health care elsewhere because you could not get a same-day or next-day appointment with us?

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* 9. Are you enrolled in our patient portal? Mark only one.

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* 10. How likely are you to recommend your WFP provider to family and friends?

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* 11. In your opinion, do our fees create a problem for you to get the care you need?

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* 12. Have you, in the last year, had to postpone or cancel a visit to WFP because of the fees we charge?

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* 13. Please provide any other comments you would like to share with WFP.

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