We would appreciate feedback about your recent visit to Nehalem Bay Health Center & Pharmacy (formerly known as Rinehart Clinic). Your input helps us understand how we are doing, and lets us know what improvements might be necessary to help us serve our patients. 

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* 1. Who did you see today?

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* 2. Date of office visit:

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* 3. How would you rate this provider? Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider?

  0 1 2 3 4 5 6 7 8 9 10
Please rate
(0 = worst possible
10 = best possible)

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* 4. In the last six months, how often did you get an appointment as soon as you needed it?

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* 5. In the last six months, how often did the provider (doctor/nurse practitioner) listen carefully to you?

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* 6. In the last six months, did the provider show respect for what you had to say?

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* 7. In the last six months, was our front desk staff helpful?

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* 8. In the last six months, did our front desk staff treat you with courtesy and respect?

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* 9. In the last six months, did the other clinical staff (medical assistant, nurse, pharmacy) listen carefully to you?

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* 10. In the last six months, did other clinical staff (medical assistant, nurse, pharmacy) treat you with courtesy and respect?

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* 11. When you contacted Nehalem Bay Health Center, how often did you get an answer to your medical question that same day, by telephone?

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* 12. When you contacted Nehalem Bay Health Center, how often did you get an answer to your medical question that same day, by MyChart?

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* 13. Do the Nehalem Bay Health Center's hours of operation work for you?
(Mon - Fri 8 am - 6 pm)

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* 14. Do the Nehalem Bay Pharmacy's hours of operation work for you?
(Mon - Fri 9 am - 5:30 pm)

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* 15. Is the health center's location easily accessible?

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* 16. Would you refer your friends or relatives?

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* 17. Do you consider us your source of primary care?

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* 18. What additional services would you like to see Nehalem Bay Health Center & Pharmacy offer?

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* 19. Do you have any additional comments or suggestions for us?

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