Thank you for taking time to complete this survey. Your feedback is very valuable to us as we strive to streamline and improve our patient experience. Your responses are anonymous.

* 3. How easy was it to get through by phone?

* 4. Do our hours of operation meet your needs?

* 5. If you left a message with us, was your call returned within 3 days?

* 6. Was the waiting room time reasonable?

* 7. Was the time in the exam room reasonable?

* 8. How well did your provider listen to you and answer your questions?

* 9. Did your provider talk to you about specific goals for your health?

* 10. Have we helped you find other services you need that we don’t offer?

* 11. Do you feel we helped you make healthy lifestyle choices?

* 12. Was your Nurse/Medical Assistant/Dental Assistant friendly and courteous?

* 13. Did s/he respect your privacy?

* 14. Do you feel s/he listened to you and answered your questions?

* 15. Were the Front Office/Registration Staff friendly and courteous?

* 16. Did s/he respect your privacy?

* 17. Do you feel s/he listened to you and answered your questions?

* 18. How clean was the facility?

* 24. If you answered Maybe, No or Don't Know, please explain below

* 25. Additional Comments

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