2025 Health Center Patient Satisfaction Survey
We want to know your thoughts about the care you receive at our Health Center. Our goal is to provide you with the highest quality, most efficient, and safest care to support your wellness. Your answers are important to us.
1.
Approximately how long have you been receiving services from the CSS Health Center?
3 months or less
3 months - 1 year
1-3 years
3-5 years
More than 5 years
2.
Please rate the following related to the Health Center.
Great
Good
OK
Fair
Poor
N/A
Able to get an appointment
Great
Good
OK
Fair
Poor
N/A
Convenient hours of operation
Great
Good
OK
Fair
Poor
N/A
Prompt return of phone calls
Great
Good
OK
Fair
Poor
N/A
Convenience of Health Center location
Great
Good
OK
Fair
Poor
N/A
Explanation of charges/fees
Great
Good
OK
Fair
Poor
N/A
3.
Please rate the facility and waiting area of the health center.
Great
Good
OK
Fair
Poor
N/A
Neat, clean, and comfortable building
Great
Good
OK
Fair
Poor
N/A
Accessible for persons with physical limitations/disabilities
Great
Good
OK
Fair
Poor
N/A
Provides a safe environment
Great
Good
OK
Fair
Poor
N/A
Time in waiting room
Great
Good
OK
Fair
Poor
N/A
Time in exam room
Great
Good
OK
Fair
Poor
N/A
4.
Please rate your interactions with staff.
Great
Good
OK
Fair
Poor
N/A
Listens to you
Great
Good
OK
Fair
Poor
N/A
Takes enough time with you
Great
Good
OK
Fair
Poor
N/A
Answers your questions
Great
Good
OK
Fair
Poor
N/A
Friendly and helpful
Great
Good
OK
Fair
Poor
N/A
Confidentiality and privacy respected
Great
Good
OK
Fair
Poor
N/A
5.
Please rate your agreement with the statement: "My health has improved since coming to the CSS Health Center."
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
6.
Please indicate if you are interested in receiving any of these additional services through the CSS Health Center.
Dental
Vision
Podiatry
Dietician / Nutrition Education
Smoking Cessation Counseling
Healthy Lifestyle Education / Walking
Other (please specify)
7.
What do you like best about the CSS Health Center?
8.
What do you like least about the CSS Health Center?
9.
Are you of Spanish, Hispanic or Latino origin or descent?
Yes
No
10.
How old are you?:
Under 18
18-24
25-34
35-44
45-54
65+
11.
Please indicate your gender:
Male
Female
Transgender (Male to Female)
Transgender (Female to Male)
Gender non-conforming/Non Binary
I prefer not to answer
Other (please specify)
12.
Race: Please mark one or all that you consider yourself to be:
Alaskan Native/American Indian
Asian
Hispanic or Latino
Black/African American
Middle Eastern or North African
Native Hawaiian/Pacific Islander
Multiracial or Multiethnic
Native Hawaiian or other Pacific Islander
White/Caucasian
I prefer not to answer
None of the above, please specify
13.
What is your sexual orientation?
Straight/Heterosexual
Gay or Lesbian
Bisexual
Queer
Pansexual
Questioning
Asexual
I prefer not to answer
None of the above, please specify
14.
Is there anything you would change about CSS to make it better?
