2021-22 CLIENT EXPERIENCE SURVEY
Client Demographic Information
Prefer not to answer
Do not know
18 or under
19 - 29
30 - 40
41 - 60
61 or above
Urban Team (Dr. Rogers, Dr. Follett, Dr. Eibisch, Dr. Pripstein, NP Katia Wong)
Newcomer Team (Dr. Shah, Dr. Iqbal, Dr. Cheng)
LGBT Team (Dr. Nguyen, Dr. Tam, Dr. Goodridge, Dr. Bourns, Dr. Lou)
1. The last time you needed an appointment, did you get a virtual (video or phone) or in-person appointment to see a health care provider within a reasonable period of time?
You may add comment on the "Other" option space.
2. In the last 3 months, did you have to go to a walk-in or Emergency room because you could not get an appointment sooner at Sherbourne?
You may add comment on the "Other'' option space.
3. How many years have you been a client of Sherbourne Health?
4. How many appointments did you have (either in person or by phone or video) in the last month?
8 or more
5. Did you have at least one virtual (phone or video) appointment with a health care provider in the past year?
5.a. If you answered "Yes" to the question #5, how satisfied were you with the virtual care that you received?
6. Do you know how to provide us with feedback such as a complaint, suggestion, or compliment?
7. Would you recommend our services to your family or friends?
7.a. If you answered "No" to the question #7, what would make it a Yes?
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