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* 1. I am satisfied with the amount of time I spent in the clinic at my last visit.

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* 2. What time of day do you prefer for your appointments?

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* 3. My provider and medical assistant explains information about my health in a way that I can easily understand.

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* 4. My provider communicates with other health care professionals about my care(such as specialists, therapists).

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* 5. My provider communicates with me about my lab, xray, and procedure results in a timely manner.

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* 6. My provider helps me set goals towards improving my personal health and encourages me to meet those.

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* 7. I am satisfied with the way I was treated by the office staff.

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* 8. In the last six months, when you contacted your clinician after regular business hours , how quickly was your call returned?

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* 9. I am satisfied with the way I was treated by the provider.

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* 10. Overall, my visit to the office was a pleasant experience.

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