Exit Nominal Fee Satisfaction Survey As a patient of Mercy Medical Health Center who is currently using our clinic for health care services, can you please answer the following:Below is a list of charges for those who qualify for the nominal level sliding fee scale:Medical Visit Fee: $10.00Diabetic Nutritionist Fee: $10.00Lab Corp Wellness Labs: $25.00Dental Visit Fee: $60.00In reviewing the charges above, please mark the box that best describes the fee. Question Title * 1. Medical Visits Fees are low and a good value for the services provided. Fees are average and what I would expect to pay for the services provided. Fees are high and more than I would expect to pay for the services. Question Title * 2. Diabetic Nutritionist Visits Fees are low and a good value for the services provided. Fees are average and what I would expect to pay for the services provided. Fees are high and more than I would expect to pay for the services. Question Title * 3. Lab Services Fees are low and a good value for the services provided. Fees are average and what I would expect to pay for the services provided. Fees are high and more than I would expect to pay for the services. Question Title * 4. Dental Visits Fees are low and a good value for the services provided. Fees are average and what I would expect to pay for the services provided. Fees are high and more than I would expect to pay for the services. If you consider these fees high, what would you expect to pay for the following services? Question Title * 5. Medical Visits Question Title * 6. Diabetic Nutritionist Visits Question Title * 7. Lab Visits Question Title * 8. Dental Visits Question Title * 9. Comments or concerns? Done
