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* 1. Which SMC site(s) do you frequent the most?

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* 2. Which of the following SMC service(s) do you currently use?

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* 3. Were you aware that SMC offered all of the services listed above?

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* 4. If you answered 'No' to question 3, which service(s) were you not aware that SMC offered?

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* 5. On a scale of 1 to 5 (5 being the best):

  1 (Worse) 2 3 (Neutral) 4 5 (Best)
How satisfied are you with the level of care your are receiving from our providers and staff?
How well do you feel the providers listen to your concerns and communicate with you

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* 6. Have you ever visited/used SMC's website (www.southsidemedical.net)?

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* 7. Which of the following have you used to request/schedule an appointment at SMC? (Check all that apply.)

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* 8. Do you schedule your own appointments?

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* 9. List 1 or 2 things that SMC does well.

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* 10. List 1 or 2 things that SMC could do to improve it's services and/or care?

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