Patient Visit Survey
We would like to know how we can improve our service to you. Please take a few minutes to answer the following. We value your opinion and want to thank you for taking the time to help us serve you better. Thank you!
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Who is taking this survey?
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Which provider did you see at Mill Creek Family Practice?
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Is this the provider you usually see for appointments, health advice, or if you are sick?
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In the past year when you have called Mill Creek Family Practice to get an appointment, were you able to get an appointment as soon as you needed?
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In the past year when you have called Mill Creek Family Practice during regular office hours, how often did you get an answer to your medical questions that same day?
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In the past year when you called Mill Creek Family Practice after regular office hours, how often did you get an answer to your medical question as soon as you needed?
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In the past year how often did you see your healthcare provider within 15 minutes of your appointment time?
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During your most recent visit, did your healthcare provider give you easy to understand information about your health questions or concerns?
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During your most recent visit, were staff at Mill Creek Family Practice as helpful as you thought they should be?
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On a scale of 1-5 with 5 being the highest, how would you rate your overall satisfaction with Mill Creek Family Practice?
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Very High
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How long has the patient been seen by this practice?
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Please select the patient's gender
Please select patient's age
Please feel free to share thoughts about your recent visit below
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