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Exit Survey
 
 
You recently received care at one of Missouri Highlands Health Care clinics. We would like to know how you feel about the care we provide so we can make sure we are meeting your needs. Your responses help us improve these services. All answers will be kept private. Thank you for your time.
 
 
Age of Patient
0-17 18-24 25-34 45-54 55-64 65+
Age:
 
 
Clinic

Ease of getting care:
Great Good Fair Poor
Ability to get an appointment
Hours clinic is open
Closeness of the location
Calls answered quickly
 
 
Clinic

Time Spent Waiting:
0-15 (minutes) 16-30 (minutes) 31-60 (minutes) 61+ (minutes)
In the waiting room
In the exam room
 
 
Clinic

Office:
Great Good Fair Poor
Neat & Clean
Comfort & Safety
Handicap accessibility
Privacy & Confidentiality
 
 
Staff

Provider: (Doctor, Nurse Practitioner, Counselor, Dietition)
Great Good Fair Poor
Friendly & Helpful
Listened to you
Answered your questions
Spent enough time with you
 
 
Staff

Nurses & Medical Staff: (assists the provider)
Great Good Fair Poor
Friendly & Helpful
Listened to you
 
 
Staff

Front Desk:
Great Good Fair Poor
Friendly & Helpful
Listened to you
 
 
Billing

Billing Staff:
Great Good Fair Poor No Contact
Friendly & Helpful
Listened to you
 
 
Billing

Payment:
Great Good Fair Poor
Explanation of charges
 
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