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* 1. Overall, how satisfied or dissatisfied are you with the patient care you received at Canyonlands Healthcare?

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* 2. Please write an anonymous comment that we could post on our website about your experience with Canyonlands Healthcare. 

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* 3. How long have you been a patient at Canyonlands Healthcare?

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* 4. Which of the following services have you received at Canyonlands Healthcare? Select all that apply.

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* 5. How would you rate customer service at Canyonlands Healthcare?

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* 6. Do you feel your community is aware of the services Canyonlands Healthcare provides?

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* 7. How did you hear about Canyonlands Healthcare?

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* 8. How could we reach out to your community to provide greater awareness of our healthcare services; i.e, social media, posters, newspaper, internet.

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* 9. Did you know that Canyonlands Healthcare offers financial services, including sliding fees, Kids Care, AHCCCS Enrollment, Vaccines for Children, Prescription Assistance and other financial programs?

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* 10. Would you like for a patient care representative to contact you about your experience at Canyonlands Healthcare?

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