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Patient Care Survey

How likely are you to recommend our clinic to a friend, family member, or coworker? *

Select one number from 0 to 10. 0 = Not at all likely. 10 = Extremely likely.

What is the primary reason for the score you selected? *

Overall, how satisfied were you with your visit today? *

How long did you wait before being seen? *

How satisfied were you with your interaction with clinic staff? *

If this clinic were not available, where would you most likely seek care? *

Does having access to this clinic make you more likely to stay with your current employer? *

Was it easy to schedule or access care at the clinic? *

Did the provider explain your diagnosis, condition, treatment, or next steps clearly? *

Was your reason for visiting addressed today? *

What could we do to improve your clinic experience?

Is there anything else you would like us to know? Comments, highlights, etc.