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Hello:
You are invited to participate in our survey regarding visits to the doctor. In this survey, respondents will be asked to complete a survey that asks questions about their experience with nurses and doctors during regular, scheduled visits.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Amy Katuska at (508)494-9983 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
How often do you visit a doctor's office?
 
More than once a week
 
Weekly
 
Monthly
 
Bi-monthly
 
Semi-annually
 
Quarterly
 
Annually
 
Other
 
 
 
 
On a scale of 1-10, with 10 being the most anxious, how anxious do you get when going to see a doctor?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
Approximately how many minutes did you have to wait to be seen by a doctor the last time you had an appointment?
   
 
 
 
How satisfied were you with how quickly you were able to get an appointment?
 
Very Dissatisfied
 
Not Satisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
In general, how satisfied are you with the staff at your doctors' offices?
 
Very Dissatisfied
 
Not Satisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
In general, how satisfied are you with the way you are treated by your doctors and their nurses?
 
Very Dissatisfied
 
Not Satisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
After a typical appointment, how satisfied are you with the amount of time the doctor spent with you?
 
Very Dissatisfied
 
Not Satisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
Please enter your e-mail address if you are willing to be contacted about a short follow-up survey.
   
 
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