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Patient Feedback Survey
Your opinion matters to us. Please share your thoughts, concerns, praise or stories with us below.
If you would like to talk with someone directly, feel free to send us an email at
patientfeedback@vgmhc.org
or call us directly at 503.352.8677.
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* Required
In what clinic did you receive your care?
Medical
Dental
Pharmacy
School-Based Health Center
Wellness Center
Women's Clinic
Other
Beaverton
Cornelius
Forest Grove
Hillsboro
McMinnville
Newberg
Tigard
Willamina
Medical
Dental
Pharmacy
School-Based Health Center
Wellness Center
Women's Clinic
Other
Beaverton
Cornelius
Forest Grove
Hillsboro
McMinnville
Newberg
Tigard
Willamina
Clear selection
How satisfied are you with your care?
*
Not at all
1
2
3
4
5
Very much
Tell us about your visit
Your answer
What could we do better?
Your answer
How likely would you be to recommend Virgina Garcia to your friends and family?
Not Likely
1
2
3
4
5
6
7
8
9
10
Definitely
Clear selection
Would you like us to follow up with you?
*
Yes
No
We are happy to talk with you directly! Please provide us with your contact information and we will reach out to you.
Your answer
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