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Patient Survey

1. Please tell us who your Physician is.
2. The last time you were ill, how many days did it take from when you first tried to see a Physician or Nurse Practitioner to when you actually saw him/her or someone else in the office?
          
3. When you see your Physician or Nurse Practitioner, how often do they or someone else in the office give you the opportunity to ask questions about recommended treatment?
            
4. 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?
            
5. When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you?
            
6. How satisfied are you with contacting our clinic?
            
7. How satisfied are you with your overall experience with our reception staff?
            
8. Do you consider the amount of time you usually have to wait to get an appointment with your health care provider reasonable?
      
9. Any further comments: