1. How would you rate your most recent experience at this hospital’s ER?

0 stars
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2. How long did you wait before being seen by a doctor or other treating professional?

hours minutes

3. What was the outcome of your ER visit?

Admitted to hospital Treated at ER & went home Left without being seen

4. What type of insurance do you have?

Uninsured Private Insurance Medicare Medicaid Other

5. Describe your experience.

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