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* 1. Are you able to get a sick visit appointment when you need it?

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* 2. Are you able to get a physical exam appointment when you need it?

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* 3. Are the office hours convenient for you?

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* 4. Are your calls returned promptly during office hours?

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* 5. Are your calls returned promptly after hours?

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* 6. Is wait time in the exam and waiting rooms acceptable?

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* 7. Do you feel providers take enough time at visits and listen to you?

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* 8. Are providers helpful coordinating care with other providers, including mental health professionals, specialists and physical and occupational therapists?

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* 9. Is our staff friendly and helpful to you?

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* 10. How likely are you to refer your friends and relatives to us?

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