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Patient Experience Survey
Phone
This field is for validation purposes and should be left unchanged.
I have a person who I think of as my personal provider:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
It is easy for me to get medical care when I need it:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
Most of the time, when I visit my provider's office, it is well organized:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
The information given to me about my health problems is very good:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
I am sure that I can manage and control most of my health problems:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
Overall, the care I receive meets my needs:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
I get exactly the care I want and need or the clinic does their best to schedule me for appointments at hospitals that can provide this care:
Strongly Disagree
Disagree
Neither Disagree or Agree
Agree
Strongly Agree
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