Patient Experience Survey Question Title * 1. In this practice, when I call to get an appointment, I am able to get an appointment as soon as I feel I need one. Always Usually Sometimes Never NA Question Title * 2. When I call the office during office hours, I get an answer to my medical question that same day. Always Usually Sometimes Never NA Question Title * 3. When I call the office after office hours, I get an answer to my medical question as soon as I need it. Always Usually Sometimes Never NA Question Title * 4. My provider listens to my concerns and questions. Always Usually Sometimes Never NA Question Title * 5. My provider gives me easy to understand instructions about how to take care of my health problems or concerns. Always Usually Sometimes Never NA Question Title * 6. When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results. Always Usually Sometimes Never NA Question Title * 7. My provider communicates with other health professionals about my care (such as specialists, therapists). Always Usually Sometimes Never NA Question Title * 8. In the last 12 months, how often did someone in the practice talk with you about specific goals for your health? Always Usually Sometimes Never NA Question Title * 9. During your visit today, how acceptable was the time the provider spent with you? Excelent Very Good Good Fair Poor NA Question Title * 10. Please specify the patient’s ethnicity. White Hispanic or Latino Black or African American Native American or American Indian Asian or Pacific Islander I choose not to answer Other (please specify) Done