Patient Satisfaction Survey

We would appreciate feedback about your recent visit to Nehalem Bay Health Center & Pharmacy (formerly known as Rinehart Clinic). Your input helps us understand how we are doing, and lets us know what improvements might be necessary to help us serve our patients. 
1.Who did you see today?
2.Date of office visit:
3.How would you rate this provider? Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider?
0
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10
Please rate
(0 = worst possible
10 = best possible)
4.In the last six months, how often did you get an appointment as soon as you needed it?
5.In the last six months, how often did the provider (doctor/nurse practitioner) listen carefully to you?
6.In the last six months, did the provider show respect for what you had to say?
7.In the last six months, was our front desk staff helpful?
8.In the last six months, did our front desk staff treat you with courtesy and respect?
9.In the last six months, did the other clinical staff (medical assistant, nurse, pharmacy) listen carefully to you?
10.In the last six months, did other clinical staff (medical assistant, nurse, pharmacy) treat you with courtesy and respect?
11.When you contacted Nehalem Bay Health Center, how often did you get an answer to your medical question that same day, by telephone?
12.When you contacted Nehalem Bay Health Center, how often did you get an answer to your medical question that same day, by MyChart?
13.Do the Nehalem Bay Health Center's hours of operation work for you?
(Mon - Fri 8 am - 6 pm)
14.Do the Nehalem Bay Pharmacy's hours of operation work for you?
(Mon - Fri 9 am - 5:30 pm)
15.Is the health center's location easily accessible?
16.Would you refer your friends or relatives?
17.Do you consider us your source of primary care?
18.What additional services would you like to see Nehalem Bay Health Center & Pharmacy offer?
19.Do you have any additional comments or suggestions for us?