In what department was your appointment?

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* 1. In what department was your appointment?

How would you rate your satisfaction with getting through to the clinic by phone?

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* 2. How would you rate your satisfaction with getting through to the clinic by phone?

How would you rate your satisfaction with getting an appointment when you wanted it.

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* 3. How would you rate your satisfaction with getting an appointment when you wanted it.

How would  you rate your satisfaction with getting to see the provider you wanted?

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* 4. How would  you rate your satisfaction with getting to see the provider you wanted?

How would you rate your satisfaction with your provider listening to your questions and concerns?

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* 5. How would you rate your satisfaction with your provider listening to your questions and concerns?

How happy are you with the amount of time your provider spent with you today?

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* 6. How happy are you with the amount of time your provider spent with you today?

Did you feel you were treated with respect and dignity?

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* 7. Did you feel you were treated with respect and dignity?

For responses less than good, please let us know how we can improve your experience.

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* 8. For responses less than good, please let us know how we can improve your experience.

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