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* 1. Which Nimiipuu Health site did you visit today?

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* 2. Which Department(s) did you visit? 

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* 3. How easy was it to schedule your appointment?

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* 4. How satisfied were you with the check-in process?

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* 5. How long did you wait (beyond your appointment time) to be seen by your provider?

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* 6. How would you describe the care you received from your provider (Doctor, Dentist, Pharmacist, Mental Health Therapist, etc.)?

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* 7. Were your concerns addressed and did your provider involve you when making treatment decisions?

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* 8. Did you leave with a clear understanding of your plan of care, including any follow-up, if needed?

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* 9. NMPH has a referral process, are you familiar with this process?

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* 10. Were you provided health care that respected your culture and traditions?

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* 11. Were you provided health care in a confidential setting?  If not, please fill out a patient comment form (available through our Patient Advocate or any Patient Care Coordinator)

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* 12. How satisfied are you with the cleanliness and appearance of our facility?

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* 13. How would you rate the overall care you received? Also, please provide any comments on how we can improve our services.

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