Survey

Thank you for taking the time to complete this survey. Your feedback is valuable to us and will be used to help improve the quality of service we provide.

The survey responses are intended to be anonymous so please only leave your contact information if you would like to be reached to discuss your experience further.

* 1. 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?

* 2. 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 decisions about your care and treatment?

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

* 4. Please use the space below to share any other feedback you may have.

* 5. OPTIONAL - If you wish to be contacted to discuss your feedback further please leave your name and phone number or email below.

* 6. Quarter this survey was collected for:

* 7. 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?

Thank you very much for completing this survey. Please click on the "Done" button below to save your feedback and close this window.
Report a problem

T