How was 2021 with us? What do you want in 2022?

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* 1. How likely is it that you would recommend El Camino Women's Medical Group to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 2. Overall, how satisfied or dissatisfied are you with El Camino Women's Medical Group?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 3. Which of the following words would you use to describe our services? Select all that apply.

Reliable

High quality

Useful

Unique

Welcoming

Supportive

Compassionate

Unreliable

Warm

Cold

Rushed

Hard to navigate

Impractical

Ineffective

Poor quality

Inefficient

Insensitive

Other (please specify)

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* 4. How well do our services meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Other (please specify)

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* 5. Overall, how would you rate the quality of your customer service experience?

Very positive

Somewhat positive

Neutral

Somewhat negative

Very negative

Other (please specify)

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* 6. Overall, how would you rate the quality of care from our physicians and nurse practitioner?

Excellent

Above average

Average

Below average

Poor

Other (please specify)

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* 7. How responsive have we been to your questions or concerns about your health??

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

Other (please specify)

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* 8. How long have you been a patient with El Camino Women's Medical Group?

Have only been here once

Less than six months

Six months to a year

1 - 2 years

3 - 5 years

more than 5 years

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* 9. Do you have any other comments, questions, or concerns about your experience with El Camino Women's Medical Group in 2021?

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* 10. What services or programs would you like to see El Camino Women's Medical Group offer in 2022?

Webinars on women's health topics

Biweekly or monthly web-based postpartum support groups

Biweekly or monthly web-based pregnancy support groups

Biweekly or monthly web-based weight loss support groups

Biweekly or monthly web-based menopause support groups

Additional prenatal classes (please list class requests in "other" textbox)

Other (please specify)

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* 11. Are you aware that El Camino Women's Medical Group is a completely separate business from El Camino Hospital?

Yes, I am aware that ECWMG is an independent physician-owned practice

Yes, but I thought there was a financial (billing and/or insurance) relationship between ECWMG and El Camino Hospital

No, I thought ECWMG was a department of El Camino Hospital

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* 12. Finally, please share any feedback, constructive criticism, requests, or suggestions for El Camino Women's Medical Group as we continue our commitment to providing excellent, compassionate, and comprehensive care for women.