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2025 SHR Consumer Satisfaction Survey
General Information
If completing on behalf of a minor, please answer questions 1-4 based on the minor’s information.
OK
1.
Where is your Primary Clinic
(Required.)
Intune Mobile Unit
Longview Care Clinic
Paris Care Clinic
Pediatric Clinic of Paris
Pine Tree Support Services
Texarkana Care Clinic - Main St.
Tyler Care Clinic - Midtown
Tyler Care Clinic - Troup
WCOL - Pediatrics & OB/GYN
2.
My Race is
(Required.)
African American/Black
Pacific Islander
Asian
Asian Indian
Middle Eastern/North African
Filipino
Chinese
Native American/Alaskan
Japanese
Caucasian/White
Multiracial
Vietnamese
Other
3.
My Ethnicity is
(Required.)
Hispanic/Latino
Non-Hispanic
Chicano
Puerto Rican
Mexican
Cuban
Central American
Mexican American
Declined to answer
4.
My age group is
(Required.)
1 day - 5 years
6-12 years
13-18 years
19-25 years
26-30 years
31-40 years
41-50 years
51-60 years
61-70 years
71-80 years
81+
