The purpose of this anonymous survey is to get feedback about your experience after a Video Visit with your care provider. It should take only 1 minute to complete. Thank you very much for your time and for helping us provide better care.

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* 1. The Video Visit provided me with great care and allowed me to have all of my issues addressed.

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* 2. The Video Visit provided me with an excellent experience, was convenient  and I would do it again with my care provider.

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* 3. I believe that a Video Visit can provide the same quality of care and experience as a visit to my care providers office.

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* 4. The savings in time and expense ( ie. time off work, parking, childcare, etc) made this Video Visit better than a visit to my care providers office.

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* 5. Please rate your overall experience:

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* 6. Do you have any comments or suggestions after your Video Visit?

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