2019/20 Patient Experience Survey
Thank you for taking part in Emery-Keelesdale NPLC's Primary Care Patient Experience Survey. Your responses to the questions on this survey will help us improve the care we provide. There are five sections of the survey and it will take approximately 10 minutes to complete.
Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential.
*If you have already filled out a paper version of the survey this year, please DO NOT fill out this survey again.
YOUR NAME WILL NOT BE RECORDED.
A. Are you complete this survey for yourself or for another person?
On behalf of another person
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This form was created inside of Emery-Keelesdale Nurse Practitioner-Led Clinic.