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EMPLOYEES
At SMITH FAMILY HEALTHCARE we welcome input and feedback from our community members/patients/stakeholders and invite you to participate in an advisory panel for our facility. If you would like to participate please complete the below form so we can provide you with our meeting information.
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Indicates required field
Would you like to participate on our Advisory Panel?
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Yes
No
Maybe
# of additional guests
*
Email
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Name
*
First
Last
Submit
Tell us about your Experience!
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Indicates required field
How was your expereince at SFH?
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
If Other please specify:
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How did you hear about SFH?
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Internet Search
Advertisment
Friend
Other
Would you recommend SFH to friends and family?
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
How yould you compare your experience at SFH compared to other facilities?
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Much Better
Somewhat Better
About the Same
Somewhat Worse
Much Worse
Will you return for future services at SFH?
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Yes
No
Maybe
Comment
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Name (optional)
*
First
Last
Phone Number (optional)
*
Submit
Home
About Us
Services
Pricing/Fee Schedule
Policies & Forms
MH & Addiction Services
Contact US/ Survey
EMPLOYEES