CJIM Patient Satisfaction Survey Question Title * 1. During your most recent visit, did medical assistants and receptionists treat you with courtesy and respect? Yes No Question Title * 2. How well would you say our office coordinates your care with other specialists that you see? I.e. getting reports/ tests that were performed at another office or hospital. Very well-CJIM communicates well with my other doctors outside of this facility Well- care coordination is good most of the time OK-occasional mishaps Poor-CJIM is never aware of my care outside of their facility Not applicable, I don't see any specialists Question Title * 3. In the Last 12 months, has anyone from our office contacted you about needed/past due tests, treatments or appointments? No, I've never received any reminders Yes, I have received reminders Question Title * 4. During your most recent visit, did your healthcare provider explain things in a way that was easy to understand? Yes, definitely Yes, somewhat No Question Title * 5. In the last 12 months, when you phoned your healthcare provider’s office after regular office hours, how often did you get an answer to your medical question ? Never Sometimes Usually Always Question Title * 6. Wait time includes time spent in the waiting room and exam room. During your most recent visit, did you see your healthcare provider within 15 minutes of your appointment time? Yes No Question Title * 7. In general, how thoroughly are your treatment options explained to you during an appointment at your doctor? Extremely thoroughly Quite thoroughly Moderately thoroughly Slightly thoroughly Not at all thoroughly Question Title * 8. How well does your doctor explain how to take your medicine(s)? Extremely well Very well Moderately well Slightly well Not at all well Question Title * 9. How easy is it to schedule urgent appointments with your doctor when you're ill? Extremely easy Very easy Moderately easy Slightly easy Not at all easy Question Title * 10. In the last 12 months, when your healthcare provider ordered a blood test, x-ray, or other test for you, how often did someone from this provider’s office follow up to give you those results? Never Sometimes Usually Always Done