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* Into which age range do you fall? |
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* Which of the following PhysicianOne Urgent Care locations have you visited? [Select all that apply] |
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* During your visit to PhysicianOne Urgent Care, which of the following services were provided? |
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* For services provided, how did you pay for your visit to PhysicianOne Urgent Care? |
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| * What words come to mind to describe your experience at PhysicianOne Urgent Care? | | |
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Thinking about your arrival at an Urgent Care facility, what kind of impact would each of the following have on your experience?
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| * Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about arrival? It nothing then please write "nothing." | | |
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Thinking about the waiting area experience at an Urgent Care facility, what kind of impact would each of the following have on your experience?
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| * Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations below, what, if anything, would you want to see changed or improved about the waiting area? If nothing, then please write "nothing." | | |
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Thinking about the exam room at an Urgent Care facility, what kind of impact would each of the following have on your experience?
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| * Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations, what, if anything, would you want to see changed or improved about the exam room? If nothing, then please write "nothing." | | |
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Thinking about the discharge process at an Urgent Care facility, what kind of impact would each of the following have on your experience?
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| * Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about the discharge process? If nothing, then please write "nothing." | | |
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Below is an image of the layout and contents of a typical bill from PhysicianOne Urgent Care. Please rate this bill on the following attributes:
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| * Based on your personal experience at PhysicianOne Urgent Care and the images of the example bill below, what, if anything, would you want to see changed or improved about the billing? If nothing, then please write "nothing." | | |
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Thinking about prior visits to PhysicianOne Urgent Care, how would you rate your level of satisfaction with the following aspects of your experience?
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Please rate how each aspect of your experience with PhysicianOne Urgent Care below matched up vs. your level of expectations.
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* From entering PhysicianOne Urgent Care to being discharged at the end of the visit, how much time do you expect to spend? |
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* Into which ethnic group do you classify yourself? |
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* In what range does your household income fall? |
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* What is your highest level of education completed? |
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If you would like to enter for a chance to win a FitBit health tracker, please enter your contact information below. If you would prefer not to answer, simply click next to conclude the survey.
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