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* 1. Overall, how easy do you find it to schedule appointments?

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* 2. How easy was the registration process?

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* 3. During your most recent visit, did our receptionists treat you with courtesy and respect?

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* 4. During your most recent visit, did your healthcare provider listen carefully to you?

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* 5. How satisfied were you with the amount of time your provider spent with you?

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* 6. Wait time includes time spent in the waiting room and exam room. During your most recent visit, did you see your healthcare provider within 15 minutes of your appointment time?

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* 7. Did your healthcare provider explain things in a way that was easy to understand?

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* 8. In the last 12 months, did you see your provider wash OR sanitize their hands?

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* 9. Do you feel our sliding fee is reasonable?

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* 10. Did you find our hours of operation convenient?

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* 11. How much do transportation-related challenges prevent you from being seen by your provider?

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* 12. How did you hear about Your community Health Center?

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