CCHD Clinic Survey
1.
Front Desk staff were courteous and respectful
Yes
No
2.
Nurses/Medical Assistants were courteous and respectful
Yes
No
3.
Provider was courteous and respectful
Yes
No
4.
How long did you wait in the waiting room before being called to the clinic?
within 15 minutes
16-30 minutes
31-45 minutes
longer than 45 minutes
5.
How long did you wait in the exam room before you were seen by a nurse or provider?
within 15 minutes
16-30 minutes
31-45 minutes
longer than 45 minutes
6.
I had a chance to ask questions
Yes
No
7.
My questions were answered in a way that I understood.
Yes
No
8.
I understood the treatment plan given to me.
Yes
No
9.
I felt safe while in the facility.
Yes
No
10.
I could discuss my concerns without being overheard
Yes
No
11.
I feel my privacy is protected in this clinic
Yes
No
12.
The waiting room was clean & comfortable
Yes
No
13.
The exam room was clean & comfortable
Yes
No
14.
Do you know how to contact a nurse after hours?
Yes
No
15.
Are you satisfied with your visit today?
Yes
No
16.
The health department's hours are convenient.
Yes
No
17.
Would you recommend us to a friend or family member?
Yes
No
18.
How did you hear about our services?
19.
What can we do to make your experience better?
20.
Program
PC
PPC
CH
FP
ST
MH
EH
IMM
TB
Current Progress,
0 of 20 answered