How happy are you with your doctor?
Thank you for taking the time to participate in this survey. Your responses will impact the care and service you receive from doctors in the future!
This survey will take approximately 5 minutes.
Do you have a regular medical doctor?
How often do you see that doctor?
Twice a year
Every 2 months
Every 6 weeks
When was your last visit to that doctor?
Please indicate number of days
For how many years have you seen this doctor?
1 or 2
10 or more
How long does it take you to travel to this doctor?
more than 30 but less than an hour
more than an hour
About how much did you pay out-of-pocket for your last visit?
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