Section 1: Contacting us/Appointment

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* 1. Which health facility do you visit regularly?

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* 2. Where you able to make an appointment that was convenient for you?

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* 3. Did you receive an appointment reminder?

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* 4. How was the appointment for your most recent visit made?

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* 5. Thinking about your most recent visit, on a scale of poor to excellent, how would you rate the following?

  Poor  Fair  Good  Very Good Excellent
The length of time it took between  making your appointment and the visit you just had
You overall experience accessing the clinic
Section 2: Waiting at the clinic

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* 6. On a scale of poor to excellent, how would you rate the following?

  Poor Fair  Good  Very Good  Excellent
The length of the time you had to wait in the reception/waiting area
Your overall experience with our reception staff
The length of time you had to wait in the examination room before you spoke with the health care provider about the reason for your visit
Your overall experience with your most recent visit

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* 7. Thinking about your most recent visit, on a scale of poor to excellent, how would you rate the following?

  Poor  Fair  Good Very Good  Excellent
The overall cleanliness of the clinic
The overall physical comfort of the clinic
The availability of the physician
Your confidence in the health care provider(s) you saw during the visit

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* 8. The last time when you needed medical care in the evening or on a weekend, how easy was it to get care without going to the emergency department?

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* 9. How long have you been visiting us for your health care?

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* 10. Would you recommend our services to your family or friends?

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* 11. Thinking of overall experience with Redding Rancheria Health System, what are two things that you think could be improved?

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