Thank you for prioritizing your health.

We’d be grateful if you would take a minute to answer three quick questions about your recent provider visit.

How long did you wait to see your provider?
On a scale of 0 (unacceptable) to 10 (excellent), how would you rate the overall care you received from your provider?
On a scale of 0 (not likely at all) to 10 (extremely likely), how likely are you to recommend your provider to a friend?

Do you have a few minutes to answer seven more questions?

Yes
No

Do you have a few minutes to answer seven more questions?

Yes
No
Please let us know how often your provider:
Never Sometimes Usually Always
Explains things in a way that is easy to understand
Listens carefully to you
Shows respect for what you have to say
Spends enough time with you
Has up to date medical records or other information about your care
Follows up in a timely fashion to give you results from any blood test, x-ray, or other test that may have been ordered
Talks to you about the prescription medicines you are taking