Please check how well you feel we are doing in the following areas:
Ease of getting care:

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* 2. Ease of getting care:

  Great Good Neutral Fair Poor Does Not Apply No Response
Ability to make an appointment
Hours that the Health Department is open
Convenience of Health Department's location
Quick return on phone calls by clerical staff
Quick return on phone calls by nursing staff (please note that nursing phone calls are returned within 24 working hours of receipt of patient message)
Waiting:

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* 3. Waiting:

  Great Good Neutral Fair Poor Does Not Apply No Response
Time spent in waiting room
Time spent in exam room
Staff

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* 4. Staff

  Great Good Neutral Fair Poor Does Not Apply No Response
Front desk staff were friendly and professional
Front desk staff greeted me quickly
Nursing staff were friendly and professional
Staff respected my privacy
Healthcare:

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* 5. Healthcare:

  Great Good Neutral Fair Poor Does Not Apply No Response
I was given good information related to my health
I had adequate time to ask health questions during the visit
I was happy with my healthcare
Payment:

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* 6. Payment:

  Great Good Neutral Fair Poor Does Not Apply No Response
Cashier was friendly and helpful
Charges were explained clearly
Facility:

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* 7. Facility:

  Great Good Neutral Fair Poor Does Not Apply No Response
Facility was neat and clean
Waiting room was comfortable
Overall:

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* 8. Overall:

  Great Good Neutral Fair Poor Does Not Apply No Response
Overall feeling of visit
Reason for today's visit (check all that apply)

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* 9. Reason for today's visit (check all that apply)

How did you hear about this facility and the services we offer?

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* 10. How did you hear about this facility and the services we offer?

Was your visit a walk-in visit or appointment?

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* 11. Was your visit a walk-in visit or appointment?

Age

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* 12. Age

Sex

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* 13. Sex

Ethnicity

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* 14. Ethnicity

Race

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* 15. Race

How can we serve you better?

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* 16. How can we serve you better?

Comments:

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* 17. Comments:

Would you like someone from the clinic to contact you regarding your comments about your services today? If so, please provide your telephone number below.

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* 18. Would you like someone from the clinic to contact you regarding your comments about your services today? If so, please provide your telephone number below.

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