Screen Reader Mode Icon

Introduction

We would like feedback about the services you received from this provider in the last six months. Please read each statement below and indicate which rating most closely fits your opinion. Thank you!

Question Title

* 1. Which Provider did you see today?

Question Title

* 2. Staff was friendly and courteous.

Question Title

* 3. I was seen within 30 minutes of my scheduled appointment time.

Question Title

* 4. The information I received was clear and understandable.

Question Title

* 5. The staff was able to help with the resources and/or referrals I needed.

Question Title

* 6. The building was neat and clean.

Question Title

* 7. My privacy and confidentiality were kept.

Question Title

* 8. I would recommend this service to other people.

Question Title

* 9. Race

Question Title

* 10. Ethnicity

Question Title

* 11. Age

Question Title

* 12. Gender

Question Title

* 13. Ryan White Services Received

Question Title

* 14. Your input is critical to improving our services. If you were not satisfied with the services you received, please use the spaces below to tell us how the services can be improved.

0 of 14 answered
 

T