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Clinician & Group Survey
Your responses to this survey are confidential and y
our participation is voluntary.
This is a standardized survey. Please skip questions that don't apply to you.
Your Care From Dr. Robinson in the Last 6 Months
In the last 6 months, when you contacted Dr. Robinson’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?
In the last 6 months, when you contacted Dr. Robinson’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?
Never
Sometimes
Usually
Always
In the last 6 months, when you made an appointment for a check-up or routine care with Dr. Robinson, how often did you get an appointment as soon as you needed?
In the last 6 months, when you made an appointment for a check-up or routine care with Dr. Robinson, how often did you get an appointment as soon as you needed?
Never
Sometimes
Usually
Always
In the last 6 months, when you contacted Dr. Robinson’s office during regular office hours, how often did you get an answer to your medical question that same day?
In the last 6 months, when you contacted Dr. Robinson’s office during regular office hours, how often did you get an answer to your medical question that same day?
Never
Sometimes
Usually
Always
In the last 6 months, how often did Dr. Robinson explain things in a way that was easy to understand?
In the last 6 months, how often did Dr. Robinson explain things in a way that was easy to understand?
Never
Sometimes
Usually
Always
In the last 6 months, how often did Dr. Robinson listen carefully to you?
In the last 6 months, how often did Dr. Robinson listen carefully to you?
Never
Sometimes
Usually
Always
In the last 6 months, how often did Dr. Robinson seem to know the important information about your medical history?
In the last 6 months, how often did Dr. Robinson seem to know the important information about your medical history?
Never
Sometimes
Usually
Always
In the last 6 months, how often did Dr. Robinson show respect for what you had to say?
In the last 6 months, how often did Dr. Robinson show respect for what you had to say?
Never
Sometimes
Usually
Always
In the last 6 months, how often did Dr. Robinson spend enough time with you?
In the last 6 months, how often did Dr. Robinson spend enough time with you?
Never
Sometimes
Usually
Always
In the last 6 months, when Dr. Robinson ordered a blood test, x-ray, or other test for you, how often did someone from this office follow up to give you those results?
In the last 6 months, when Dr. Robinson ordered a blood test, x-ray, or other test for you, how often did someone from this office follow up to give you those results?
Never
Sometimes
Usually
Always
Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Dr. Robinson?
Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Dr. Robinson?
1
2
3
4
5
6
7
8
9
10
In the last 6 months, how often did you and someone from Dr. Robinson’s office talk about all the prescription medicines you were taking?
In the last 6 months, how often did you and someone from Dr. Robinson’s office talk about all the prescription medicines you were taking?
Never
Sometimes
Usually
Always
In the last 6 months, how often have you been treated
unfairly at Dr. Robinson's office because of your race or ethnicity?
In the last 6 months, how often have you been treated unfairly at Dr. Robinson's office because of your race or ethnicity?
Never
Sometimes
Usually
Always
Clerks and Receptionists at This Provider’s Office
In the last 6 months, how often were clerks and receptionists at Dr. Robinson’s office as helpful as you thought they should be?
In the last 6 months, how often were clerks and receptionists at Dr. Robinson’s office as helpful as you thought they should be?
Never
Sometimes
Usually
Always
In the last 6 months, how often did clerks and receptionists at Dr. Robinson’s office treat you with courtesy and respect?
In the last 6 months, how often did clerks and receptionists at Dr. Robinson’s office treat you with courtesy and respect?
Never
Sometimes
Usually
Always
Done
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