Cayuga Family Medicine, PC
302 W. Seneca Street
Ithaca, NY 14850

Dear Patient,

Our records show that you or a family member has been seen at Cayuga Family Medicine in the last 12 months.  It is important to us to hear what you have to say and how you feel about attending appointments at our office.

We would kindly appreciate it if you would complete this survey so that we can see where we are doing well and also find areas to improve your experience.  The survey should take 7-10 minutes to finish. 

Your Privacy is Protected. All information that would let someone identify you or your family will be kept private. Cayuga Family Medicine, PC will not share your personal information with anyone without your consent. Your responses to this survey are confidential and anonymous.

Your Participation is Voluntary. You may choose to answer this survey or not. If you choose not to participate, this will not affect the health care you get.

If you want to know more about this survey, please call 607-697-0360.

Question Title

* 1. Our records show that you got care from Cayuga Family Medicine in the last 12 months.  Is that right?

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