Patient Survey

Complete this anonymous online (En Espaniol) or printable (En Espaniol)  survey to tell us how was your experience at Planned Parenthood.

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Please tell us how well you think we are doing in the following areas.

Ease of getting care:

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Waiting:

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Staff:

Provider: (Nurse Practitioner)

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Nurses and Medical Assistants:

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All others:

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Payment:

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Facility:

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Confidentiality:

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Thank you for completing our survey!

   Please leave this field empty