Which provider did you see?*First ChoiceSecond ChoiceThird ChoiceWas your visit in person or telehealth?* In-person Telehealth Did you experience technical difficulties? How long did you wait for an appointment?Same Day1 Day2-3 Days4-7 DaysMore Than 7 DaysDid you get an appointment reminder?Phone CallText MessageNo, I did not receive a reminder.How friendly was the registration staff? Very Friendly Friendly Neutral Unfriendly Very Unfriendly Other When at the clinic, how long did you wait to see a provider? Less Than 10 Minutes More Than 15 Minutes More Than 45 Minutes More Than 60 Minutes Were our services affordable? Very Affordable Affordable Neutral Unaffordable Very Affordable Did the provider answer all of your questions? Yes No I did not have any questions In what area can we most improve? Ease of making an appointment Wait time to see provider Wait time to register Cleanliness of facility Affordability (cost) Customer Service Nothing, I was pleased with services Other Will you come back again? Yes No What is 7 + three?* NameThis field is for validation purposes and should be left unchanged.
