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* 1. The service/s I used at Valley Family Health were (tick all that apply)

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* 2. If you feel comfortable, please tell us which clinician you saw

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* 3. I found the service/s I received at Valley Family Health

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* 4. Since coming to the service, the problems are

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* 5. Has the attending the service been helpful in other ways, such as providing information, understanding the problem or coping with the problem?

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* 6. I found the clinician/s (tick all that apply)

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* 7. I found the reception staff (tick all that apply)

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* 8. I found the physical environment (tick all that apply)

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* 9. I am satisfied with my experience at Valley Family Health

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* 10. Please tell us anything you would like us to know about your experience at Valley Family Health or how we can improve our services

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