* 1. What is your gender?

* 2. Status

Please rate your satisfaction with all items relevant for you most recent visit.

* 3. Scheduling an appointment was easy.

* 4. The wait time for my appointment was acceptable.

* 5. The check- in and check out processes were efficient.

* 6. The registration staff was professional, friendly, courteous and helpful.

* 7. The nursing/medical assistant staff was professional, friendly, courteous and helpful.

* 8. I spent an adequate amount of time with my provider.

* 9. My provider thoroughly explained my condition and recommended treatment in a way I could easily comprehend.

* 10. My questions regarding charges, insurance and billing were answered adequately.

* 11. I felt my confidentiality and privacy were carefully protected.

* 12. The Health CARE Center was clean and comfortable.

* 13. My overall experience was

* 14. Would you recommend the Health CARE Center

* 15. Would you use the Health CARE Center again?

* 16. Do you have any other comments or suggestions which might help us to improve our service to you? All comments, whether positive or negative, are appreciated.

* 17. If you would like us to respond to your comments please enter your name or email address: