This survey is intended to help us improve communications at Callen-Lorde.

Thank you for participating!

* 1. How old are you?

* 2. Which of these best describes your gender?

* 3. Which of these best describes your sexual orientation?

* 4. What is your race?

* 5. Do you receive healthcare at Callen-Lorde?

* 6. If no, why not?

* 7. If yes, what services do you receive at Callen-Lorde?

* 8. On a scale of 1-5 how well do you think Callen-Lorde communicates with you regarding CLOSURES (i.e. holidays, snow closures)?

* 9. On a scale of 1-5 how well do you think Callen-Lorde communicates with you regarding EVENTS (i.e. education events, fundraising events)?

* 10. On a scale of 1-5 how well do you think Callen-Lorde communicates with you about POLICIES (i.e. payments, confidentiality)?

* 11. On a scale of 1-5 how well do you think Callen-Lorde communicates with you about APPOINTMENTS (reminders, cancellations, etc)?

* 12. How would you prefer to communicate with Callen-Lorde/your provider (rank them)

* 13. Do you use the patient portal?

* 14. If yes, what has been your experience (positive or negative)?

* 15. If no, why don't you use it?

* 16. How else could we improve our communications at Callen-Lorde?

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