Patient Satisfaction Survey 2020
Please take a few minutes to fill out our survey!
How was your check in process today?
Clear selection
If you had to fill out paperwork did you find it reasonable?
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How long did you have to wait to see the provider after your scheduled appointment time?
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How long did you have to wait to schedule an appointment?
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How many times a year do you have to visit another health care facility because we are not open?
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If you were able to choose a time frame outside normal business hours (8:00 am to 5:00 pm), which times would be more convenient for you and/or your family. (Check all that apply)
If you need a same-day appointment what time frame is best for you?
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Would you use a taxi service dedicated to health care?
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How do you usually get to the Health Center? (Check all that apply)
Have you used Telehealth through the Health Center?
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If you have used our Telehealth option, what was your experience?
Do you feel that the Sliding Discount Fee is easy to understand if using the slide?
Very easy to understand
Very difficult to understand
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Do you think the cost of the discount is reasonable? If using the slide.
How can we make it easier to understand? If using the slide.
If your test results were not reported at your appointment, did you feel they were reported in a reasonable amount of time?
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Do you feel that your billing statement is easy to understand?
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If you left a phone or portal message with a nurse were you satisfied with the length of time it took for a response?
Clear selection
Very Poor (1)
Poor (2)
Fair (3)
Good (4)
Very Good (5)
Friendliness/Courtesy of staff
Friendliness/Courtesy of care provider
The care provider showed efforts to include you in decisions about your treatment
How was the amount of time care provider spent with you
Cleanliness of Health Center facilities
Respect from the Behavioral Health provider regarding race, sex, religion, sexual orientation or ethnic heritage
If you needed help in the future what is your likelihood of returning to see a Behavioral Health provider here?
Overall, how satisfied are you with your visit here?
I rate the access to health care at the Health Center as...
What is the likelihood of you recommending the Health Center to others?
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To which gender identity do you most identify?
What is your highest level of education?
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