* 1. How convenient is Northeastern Tribal Health System (NTHS) to use?

* 2. Compared to other Tribal clinics, is our service quality better, worse, or about the same?

* 3. How well do the staff representatives at NTHS answer your questions?

* 4. Overall, are you satisfied with the services at NTHS, neither satisfied nor dissatisfied with it, or dissatisfied with it?

* 5. Do you like NTHS, neither like nor dislike it, or dislike it?

* 6. How likely are you to recommend our clinic to people you know ?

* 7. How well did the staff at NTHS keep you informed about your treatment options?

* 8. How well does your Medical Provider explain how to take your medicine(s)?

* 9. How well does your Medical Provider answer your questions?

* 10. How well does your Medical Provider listen to you?

* 11. Overall, are you satisfied with your Medical Provider, neither satisfied nor dissatisfied with him/her, or dissatisfied with him/her?

* 12. How easy is it to schedule urgent appointments with your Medical Provider when you're ill?

* 13. How quickly does your Medical Provider staff help you when you need help?

* 14. How helpful is your Medical Provider at explaining your medical condition(s)?

* 15. How much do you trust your Medical Provider to make medical decisions that are in your best interests?

* 16. During a typical office visit, does your Medical Provider spend too much time with you, too little time with you, or about the right amount of time with you?

* 17. How likely are you to recommend your Medical Provider to family or friends?

* 18. How helpful are the employees at Northeastern Tribal Health System?

* 19. How clean were the areas in which you were treated at NTHS?

* 20. How considerate was the staff at NTHS?

* 21. How easy was it to talk to the staff at NTHS about your medical condition(s)?

* 22. Are you satisfied with the service you receive from Northeastern Tribal Health System, neither satisfied nor dissatisfied with it, or dissatisfied with it?

* 23. Suggestions for improvement:

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