On a scale of 1 to 5, with 5 being the easiest / best, please rate us!

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* 1. How easy was it to schedule an appointment with Yellowhawk?

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

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* 3. How would you rate the overall care you received today from your provider (doctor, dentist, pharmacist, mental health therapist, etc.)?

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* 4. How would you rate the overall care you received from staff?

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* 5. How likely are you to recommend Yellowhawk to a friend or family member?

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* 6. Were your questions answered in an easy to understand manner?

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* 7. Did you leave your appointment today with an understanding of any follow up (appointments, referrals, etc.) that need to happen?

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* 8. How many years have you been a patient at Yellowhawk?

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* 9. What department were you specifically visiting and giving feed-back on today?

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* 10. When was the last time you visited the department referenced in the prior question?

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* 11. What do you like the most about Yellowhawk and your visit today?  (Please be specific and check all that apply)

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* 12. What do you like the least about Yellowhawk and your visit today? Any suggestions on how we can improve?  (Please be specific and check all that apply)

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* 13. During this visit, did you feel you experienced any form of discrimination or did you feel staff expressed personal bias?

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* 14. In the last 6 months, when you contacted this department's office to get an appointment, how often did you get an appointment as soon as you needed?

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* 15. After contacting Yellowhawk for this need, how quick did you receive an appointment or service?

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* 16. If Yellowhawk offered early morning appointments, would you be interested in scheduling your appointment before 8 am?

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* 17. If Yellowhawk offered appointments later in the afternoon, would you be interested in scheduling your appointment after 4 pm?

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* 18. If your Primary Care Provider (PCP) was not available for extended hour appointments (before 8 am or after 4 pm), would you be willing to see one of our other providers with those appointment times?

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* 19. Do you have additional recommendations or feedback to share with Yellowhawk staff regarding current or expanded hours?

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