AC19E
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[NAME OF MEDICAL CARE PROVIDER......]
Overall, how satisfied are they with the quality of care received from (PROVIDER)?
Would you say ...
very satisfied, ......................... 1
somewhat satisfied, ..................... 2
not too satisfied, or ................... 3
not at all satisfied? ................... 4
REF ..................................... -7
DK ...................................... -8
[Code One]
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DISPLAY '(PROVIDER)' IF USC PROVIDER BEING LOOPED ON IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'.
OTHERWISE, DISPLAY '(PROVIDER)'s office'.
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