Thank you for taking the time to answer this short survey about your care as a patient at this practice. Please note that your answers will be kept confidential. Your name will not be collected. It will not be possible to identify who completed a survey and who did not.

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* 1. Please identify the location(s) where you have received services from the Thames Valley Family Health Team.

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* 2. Which healthcare provider did you connect with?

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* 3. Approximately, how many days did you wait to connect with your healthcare provider?

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* 4. When you connect with your healthcare provider, do they involve you, as much as you want to be, in decisions about your care and treatment?

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* 5. In your most recent appointment, how did you connect with your provider?

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* 6. Was this your preferred method of contact with your provider for this type of issue?

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* 7. If no, please select your preferred method(s) of contacting your provider?

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* 8. What options of contact were provided to you when you booked your most recent appointment?

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* 9. Were there any limitations that prevented you from connecting with your provider? (please select all that apply)

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* 10. How would you rate your overall experience with your most recent appointment?

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* 11. Do you have any other comments you would like to share:

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