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General
Clinical Survey
Please fill this survey out so we can better serve you.
Please fill in all
required fields
.
Did you have an appointment at the time you requested?
Yes
No
N/A
Were you able to schedule with the provider requested?
Yes
No
N/A
Did the provider answer all your questions?
Yes
No
N/A
Were all your compalints able to be addressed in this single visit?
Yes
No
N/A
Did the nurse obtain all information from you to document in the chart? (i.e. medications, procedures performed elsewhere, hospital stays, etc.)
Yes
No
N/A
Were you informed about our patient portal and your access to requesting appointments, lab results, medical information, patient education materials and more?
Yes
No
N/A
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