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Flu Vaccination Patient Satisfaction Survey
1. Is this your first year receiving the flu vaccine at Foothill Community Health Center *
2. Why did you decide to attend Foothill Community Health Center to receive the Flu vaccine this year? *
Required
3. During the visit, were you satisfied with the overall interaction and experience with the Provider about the flu vaccine service? (1 poor to 5 Excellent). *
4. Please rate FCHC service when you received the flu vaccine: (1=Poor to 5=Excellent). *
5. Will you return next flu season to get your flu vaccine at FCH? *
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