* 1. Who is your Primary Health Care Provider (Physician or Nurse Practitioner)?

* 2. The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in the office?

* 3. How would you rate the length of time it took between making your appointment and your visit?

* 4. When you see your doctor or nurse practitioner, how often do they or someone else in the office involve you as much as you want to be in the decisions about your care and treatment?

* 5. When you see your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about recommended treatment?

* 6. When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you?

* 7. Fill out the following information to be entered into our monthly draw for your chance to win a prize.

Report a problem

T