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GRDHD Patient Satisfaction Survey - WIC

This survey will help us better understand your needs and improve services.  All response will be kept confidential and anonymous.  
1. Which WIC Clinic did you visit?
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2. Please check the reason for your WIC visit: 
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3. Did you have any issues getting here today? 
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3. How satisfied were you with the amount of time spent in the waiting room?
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Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
3. How satisfied were you with the amount of time spent with the provider? 
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Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
4. How satisfied were you with our staff?
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Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
5. How did you hear about Green River District Health Department Services?  *This question is required.
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6. How satisfied were you with the overall experience? 
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Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
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