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Were you asked the reason for your registration upon registering? Select Yes No
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Are you aware of phone consultation options? Select Yes No
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Are you aware of the option to send an email to the family doctor's center? Select Yes No
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Are you aware of how home visits are arranged at the practice? Select Yes No
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Are you aware of the paid services offered at the practice? Select Yes No
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Were you informed of the price of a paid service before using it? Select Yes, always Yes, usually No, usually not No, never
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Have you felt discriminated against by the practice staff for any reason (race, gender, age, religious affiliation, etc.)? Select Yes No
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Have you been treated with respect and courtesy at the practice? Select Yes, always Yes, mostly No, mostly not No, never
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For a third party (students, etc.) to be present during your appointment, were you asked for your consent before the appointment began? Select Yes, always Yes, mostly No, mostly not No, never
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Comment (students, age
Have you visited the practice's website? Select Yes No
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Have you visited the practice's website? (copy) Select Yes, completely satisfied Moderately satisfied Not at all satisfied
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Have you been provided with sufficiently understandable information about your health, examinations, and treatment during appointments? Select Yes, always Yes, mostly Sometimes Mostly not Never
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Have you received enough health-promoting information during appointments? Select Yes, always Yes, mostly Sometimes Mostly not Never
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Would you like to change anything about how the family doctor's center operates? Select Yes No
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