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Health Center Evaluation

The members of the Health Care Advisory Committee ask that you help us evaluate the Colby Health Center by taking a few minutes to complete this form. The results will be anonymoulsy via e-mail to Janice Kassman, Health Care Advisory Committee member.

Received prompt & courteous assistance at checkin:
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	Comments related to above
Seen in Timely Fashion:
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Comfortable with Provider:
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My provider seemed to know what he/she was doing:
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I understood my diagnosis and treatment:
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Concerns were validated and my questions answered:
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Treated confidentially and privacy respected:
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Received satifactory follow-up care, if applicable:
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Overall grade of the experience at the Health Ctr:
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Would you return with a future problelm?:
Would you recommend the health center to a friend?:
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Gender:
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