Patient Care Survey - Exodus Healthcare Network

1. What provider did you see?*
2. What is the most important reason you have entrusted Exodus with your healthcare?*

8. I was satisfied with the protective measures my Medical Assistant used during my appointment today.*
- Strongly Agree
- Agree
- Disagree
9. How satisfied were you with the level of care given to you by your provider?*
- Very Satisfied
- Satisfied
- Somewhat Satisfied
- Not Satisfied

10. I was satisfied with the protective measure my Provider used during my appointment today.*
- Strongly Agree
- Agree
- Disagree
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Additional Diabetic Questions
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How would you rate your understanding of diabetes? (0 being the worst and 10 being the best)
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Did your provider discuss making diabetic healthcare goals?
- Yes
- No
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Was diabetes information or additional healthcare education offered to you (such as diabetes education, nutritional counseling, etc)?
- Yes
- No

11. How did you hear about us?*
Other
12. What can we do to improve your Exodus Healthcare experience?
If you would like us to contact you regarding your feedback, please leave us your contact information
Name
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Additional Diabetic Questions