MCPHD Patient Satisfaction Survey

We want to know how you feel about the services provided to you by our medical, dental, and/or behavioral health staff.  Completion of this survey is optional and anonymous. Your input is very important to us. Thank you!

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* 1. Where did you receive services?

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* 2. Which services did you receive?

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* 3. What is your age category?

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* 4. Gender

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* 5. Race/Ethnicity

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* 6. Convenience of our location

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* 7. Hours we are open

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* 8. Ability to get an appointment

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* 9. Prompt return of your calls

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* 10. Time spent in waiting room

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* 11. Time spent in the exam room

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* 12. Time spent waiting for test results

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* 13. Cleanliness of the clinic

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* 14. Comfort and privacy in the clinic

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* 15. Providers (physicians, dentists, nurse practitioners, counselors) listen to you

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* 16. Providers (physicians, dentists, nurse practitioners, counselors) spends enough time with you

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* 17. Providers (physicians, dentists, nurse practitioners, counselors) explain what you need to know

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* 18. Providers (physicians, dentists, nurse practitioners, counselors) gives you good advice

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* 19. Providers (physicians, dentists, nurse practitioners, counselors) provides good treatment

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* 20. Medical and Dental Assistants and all other staff are friendly and helpful to you

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* 21. Medical and Dental Assistants and all other staff answer your questions

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* 22. Medical and Dental Assistants and all other staff are attentive to your needs

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* 23. The cost of our services

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* 24. Sliding Scale fee charge

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* 25. What do you like best about our clinic?

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* 26. What are your suggestions for improvement for the clinic?

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* 27. If the Clinic were to add hours, which of the hours would meet your needs?

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