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* 1. Overall, how satisfied or dissatisfied were you with your last visit to the onsite clinic?

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* 2. Do you feel that the length of the appointment (20 minutes) is enough time at the onsite clinic?

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* 3. Overall, how would you rate the service you received from the medical provider at the onsite clinic?

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* 4. Overall, how would you rate the care you received from the medical provider?

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* 5. How well did the medical provider listen to your needs?

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* 6. How well did the medical provider answer your questions?

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* 7. How satisfied or dissatisfied were you with the amount of time the medical provider spent with you addressing your needs?

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* 8. Is there anything that could have been done to improve your last visit to the onsite clinic?

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* 9. Please provide additional comments or feedback about the onsite clinic or medical provider.

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