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* 1. Please select the RHCI clinic from which you received care in the last 12 months from the list below (if more than one, please select the clinic you consider your primary care provider or clinic used most frequently). Keep this response in mind as you answer the remainder of the questions on this survey.

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* 2. Is this the clinic you usually go to if you need a check-up, want advice about a health problem, or get sick or hurt?

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* 3. When scheduling an appointment, are you generally able to do so within a reasonable timeframe?

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* 4. Do you feel like you are treated with courtesy and respect when visiting this clinic?

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* 5. Have you been made aware of our Sliding Fee policy and how to apply?

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* 6. Does the $25 minimum copay (nominal fee) create a financial hardship for you?

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* 7. Would you recommend this clinic to others?

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* 8. RHCI is committed to providing quality care and we continually seek to improve the patient experience. Please provide any comments to highlight areas where you feel we are succeeding in this mission or areas where you have suggestions for improvement.

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