Pathways Clinic Survey
1.
How satisfied were you with your experience scheduling an appointment with our clinic?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
2.
Did you have any issues making an appointment ?
No
Yes (please explain)
3.
How satisfied were you with the medical care Ona provided?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
4.
How satisfied were you with the Behavioral Health care Pamela provided?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
5.
How satisfied were you with the Family Navigator (Raquel) visit ?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
6.
How satisfied were you with the amount of time the medical provider (Ona) spent with you?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
7.
How satisfied were you with the amount of time the therapist (Pamela) spent with you?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
8.
How well do you feel the clinic listened to your concerns?
Very Well
Well
Neutral
Not Well
Not At All
9.
Would you like to share any additional feedback for our Clinic ?
No
Yes (please provide any additional comments here)