Which provider did you see today?

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* 1. Which provider did you see today?

Where were you seen today?

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* 2. Where were you seen today?

I am able to get through to the office on the phone during office hours

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* 3. I am able to get through to the office on the phone during office hours

In the last 12 months, when you phoned your dentist's office after regular office hours, how often did you get an answer to your question as soon as you needed?

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* 4. In the last 12 months, when you phoned your dentist's office after regular office hours, how often did you get an answer to your question as soon as you needed?

How convenient was the appointment time you were able to get?

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* 5. How convenient was the appointment time you were able to get?

How easy is it to schedule urgent appointments with your dentist?

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* 6. How easy is it to schedule urgent appointments with your dentist?

How courteous and helpful was the receptionist when you arrived at our office?

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* 7. How courteous and helpful was the receptionist when you arrived at our office?

How friendly was the clinical staff during your visit?

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* 8. How friendly was the clinical staff during your visit?

Did you observe the dental staff wash their hands or use hand sanitizer?

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* 9. Did you observe the dental staff wash their hands or use hand sanitizer?

Overall, how often do you wait more than 15 minutes to see your dentist or hygienist? (Wait time includes time spent in the waiting room and exam room.)

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* 10. Overall, how often do you wait more than 15 minutes to see your dentist or hygienist? (Wait time includes time spent in the waiting room and exam room.)

How satisfied or dissatisfied were you with the amount of time your dentist or hygienist spent with you addressing your needs?

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* 11. How satisfied or dissatisfied were you with the amount of time your dentist or hygienist spent with you addressing your needs?

Were your needs met at this visit?

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* 12. Were your needs met at this visit?

Did anyone talk to you about the medication you take?

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* 13. Did anyone talk to you about the medication you take?

Were you asked if you had visits with other health care providers since your last visit?

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* 14. Were you asked if you had visits with other health care providers since your last visit?

Did anyone help you make an appointment with a specialty provider if necessary?

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* 15. Did anyone help you make an appointment with a specialty provider if necessary?

Have we ever given you information about FMC being your medical home?

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* 16. Have we ever given you information about FMC being your medical home?

Have we ever helped you find other community resources you might need that FMC does not provide?

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* 17. Have we ever helped you find other community resources you might need that FMC does not provide?

Do you feel that what you pay for your care is reasonable?

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* 18. Do you feel that what you pay for your care is reasonable?

May we contact you for further input regarding your thoughts on FMC?

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* 19. May we contact you for further input regarding your thoughts on FMC?

Would you recommend FMC to your friends and family?

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* 20. Would you recommend FMC to your friends and family?

How did you hear about Family Medical Center?

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* 21. How did you hear about Family Medical Center?

Do you have any comments or suggestions?

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* 22. Do you have any comments or suggestions?

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