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Nurse Advice Service Survey
Thank you for taking this short survey (takes about three minutes) about CHA's Nurse Advice Service. Your answers will be kept confidential and will help us improve.
Have you used CHA's Nurse Advice Service before?
*
Yes
No
Where do you go to get your primary care at CHA?
*
Please Select
CHA Assembly Square Care Center
CHA Broadway Care Center
CHA Cambridge Family Health North
CHA Cambridge Pediatrics
CHA Central Street Care Center
CHA East Cambridge Care Center
CHA Everett Care Center
CHA Malden Care Center
CHA Primary Care, Cambridge Hospital
CHA Revere Care Center
CHA Somerville Pediatrics
CHA Union Square Family Health
CHA Windsor Street Care Center
How happy were you with the Nurse Advice Service?
*
Not Happy
1
2
3
4
Very Happy
5
1 is Not Happy, 5 is Very Happy
Was the nurse caring?
*
Yes
No
Did the nurse listen to your concerns?
*
Yes
No
Did you understand the advice?
*
Yes
No
How can we improve the Nurse Advice Service?
What is your name?
May we contact you for more information?
Yes
No
If Yes, what is your email address?
example@example.com
Submit
Should be Empty: