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2. 1. Wait Time

   1. Less than 5 minutes
   2. 5-10 minutes
   3. 10-15 minutes
   4. More than 15 minutes

   How long did you wait in the waiting room/lobby to be seen by a medical professional (doctor or nurse)?
4. Please rate the following as:
   1. Disagree, 2. Neutral, 3. Agree
6. 2. The amount of time spent in the exam room before seeing the doctor was acceptable.

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   1. 2

   1. 3
8. 3. The medical professional (doctor/nurse) took time to listen to my concerns and answer my questions.

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10. 4. The facility was neat and clean.

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    1. 2

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12. 5. The reception staff was friendly, helpful and nice.

    1. 1

    1. 2

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14. 6. The nursing staff was friendly, helpful and nice.

    1. 1

    1. 2

    1. 3
16. Which facility were you seen at?
    -- Select One --1. Mercy - 1055 Jordan Creek Parkway 2. UnityPoint - 6000 University Avenue3. Other
18. Additional Comments
    Please share what went good or what went bad.
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