Patient Survey
My phone calls are answered promptly *
People who answer my calls or meet with me are helpful *
People really listen to me when I call or have an appointment *
People take time to answer all of my questions *
People spend enough time with me when I call or during my appointments *
I receive proper counseling on my medications, including how to use or take them *
I receive information on side effects or other problems that I could have with my medications *
People show respect for what I have to say *
People show me empathy and are concerned for my needs *
People are concerned for my privacy *
People I speak with know about my disease *
People I speak with know about the medications I’m taking *
People helped solve problems with my insurance in a timely fashion *
People helped me get financial assistance for my prescriptions *
2. Additional comments and/or feedback:
Name
Email Address
Numbers
4. Would you like a phone call follow-up to this survey?
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