Which provider did you see at your most recent visit?

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* 1. Which provider did you see at your most recent visit?

What was the reason for your most recent visit?

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* 2. What was the reason for your most recent visit?

When I phone to get an appointment for care I need right away, I am able to get an appointment as soon as I feel I need one.

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* 3. When I phone to get an appointment for care I need right away, I am able to get an appointment as soon as I feel I need one.

When I phone the office after regular office hours, I get an answer to my medical question as soon as I need it.

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* 4. When I phone the office after regular office hours, I get an answer to my medical question as soon as I need it.

I believe my doctor and the office staff have a commitment to provide the quality care and support that I need.  I feel that the staff members treat me with respect and care. 

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* 5. I believe my doctor and the office staff have a commitment to provide the quality care and support that I need.  I feel that the staff members treat me with respect and care. 

During your most recent visit, how acceptable was the wait time before you saw the provider?

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* 6. During your most recent visit, how acceptable was the wait time before you saw the provider?

During your most recent visit, how acceptable was the time your provider spent with you? Did the doctor listen to your concerns? And were instructions clear and easy to understand?

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* 7. During your most recent visit, how acceptable was the time your provider spent with you? Did the doctor listen to your concerns? And were instructions clear and easy to understand?

How would you rate your overall experience?

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* 8. How would you rate your overall experience?

How likely are you to recommend this office to your family and friends?

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* 9. How likely are you to recommend this office to your family and friends?

Please tell us about anything we do well AND how we can improve the care and services we offer:

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* 10. Please tell us about anything we do well AND how we can improve the care and services we offer:

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