Use the form below to let us know how your last visit to ECMHCI went.

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Your opinion is very important to us. Please mark "Yes" or "No" to the following questions:
Did you have an appointment?
Did you feel welcome?
Were all the employees friendly and helpful?
Did we see you in a timely manner?
Did we explain everything clearly?
Do you feel your Provider listened to you?
Were your problems handled to your satisfaction?
Do you feel we care about you?
Would you recommend this clinic to a friend?
What did you like or not like? (If you answered No to any questions, please feel free to write your comments or suggestions here.)
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.