Patient Experience Survey

Question Title

* 1. Which Neighborhood Health Center location do you visit most frequently?

Blasdell - 4233 Lake Avenue, Blasdell, NY 14219

Bridgeview - 1050 Niagara Street, Buffalo, NY 14213

Health In Motion

Mattina - 300 Niagara Street, Buffalo, NY 14201

Northwest - 155 Lawn Avenue, Buffalo, NY 14207

Riverway - 1569 Niagara Street, Buffalo, NY 14213

Southtowns - 151 Elmview Avenue, Hamburg, NY 14075

Question Title

* 2. How would you rate the following aspects of your office experience?

	Excellent	Very Good	Good	Fair	Poor	Not Applicable
The ease of making your appointment?	The ease of making your appointment? Excellent	The ease of making your appointment? Very Good	The ease of making your appointment? Good	The ease of making your appointment? Fair	The ease of making your appointment? Poor	The ease of making your appointment? Not Applicable
If an appointment was available within a reasonable amount of time?	If an appointment was available within a reasonable amount of time? Excellent	If an appointment was available within a reasonable amount of time? Very Good	If an appointment was available within a reasonable amount of time? Good	If an appointment was available within a reasonable amount of time? Fair	If an appointment was available within a reasonable amount of time? Poor	If an appointment was available within a reasonable amount of time? Not Applicable
The efficiency of the check-in process?	The efficiency of the check-in process? Excellent	The efficiency of the check-in process? Very Good	The efficiency of the check-in process? Good	The efficiency of the check-in process? Fair	The efficiency of the check-in process? Poor	The efficiency of the check-in process? Not Applicable
The waiting time in the reception area?	The waiting time in the reception area? Excellent	The waiting time in the reception area? Very Good	The waiting time in the reception area? Good	The waiting time in the reception area? Fair	The waiting time in the reception area? Poor	The waiting time in the reception area? Not Applicable
The waiting time in the exam room?	The waiting time in the exam room? Excellent	The waiting time in the exam room? Very Good	The waiting time in the exam room? Good	The waiting time in the exam room? Fair	The waiting time in the exam room? Poor	The waiting time in the exam room? Not Applicable
The courtesy of the person who took your call?	The courtesy of the person who took your call? Excellent	The courtesy of the person who took your call? Very Good	The courtesy of the person who took your call? Good	The courtesy of the person who took your call? Fair	The courtesy of the person who took your call? Poor	The courtesy of the person who took your call? Not Applicable
The friendliness of the receptionist upon your arrival?	The friendliness of the receptionist upon your arrival? Excellent	The friendliness of the receptionist upon your arrival? Very Good	The friendliness of the receptionist upon your arrival? Good	The friendliness of the receptionist upon your arrival? Fair	The friendliness of the receptionist upon your arrival? Poor	The friendliness of the receptionist upon your arrival? Not Applicable
The care and concern of our nurses/medical assistants?	The care and concern of our nurses/medical assistants? Excellent	The care and concern of our nurses/medical assistants? Very Good	The care and concern of our nurses/medical assistants? Good	The care and concern of our nurses/medical assistants? Fair	The care and concern of our nurses/medical assistants? Poor	The care and concern of our nurses/medical assistants? Not Applicable
The helpfulness of the staff who assisted you with billing or insurance questions?	The helpfulness of the staff who assisted you with billing or insurance questions? Excellent	The helpfulness of the staff who assisted you with billing or insurance questions? Very Good	The helpfulness of the staff who assisted you with billing or insurance questions? Good	The helpfulness of the staff who assisted you with billing or insurance questions? Fair	The helpfulness of the staff who assisted you with billing or insurance questions? Poor	The helpfulness of the staff who assisted you with billing or insurance questions? Not Applicable
How promptly your phone calls were answered?	How promptly your phone calls were answered? Excellent	How promptly your phone calls were answered? Very Good	How promptly your phone calls were answered? Good	How promptly your phone calls were answered? Fair	How promptly your phone calls were answered? Poor	How promptly your phone calls were answered? Not Applicable
If you were able to receive advice or help when needed during office hours?	If you were able to receive advice or help when needed during office hours? Excellent	If you were able to receive advice or help when needed during office hours? Very Good	If you were able to receive advice or help when needed during office hours? Good	If you were able to receive advice or help when needed during office hours? Fair	If you were able to receive advice or help when needed during office hours? Poor	If you were able to receive advice or help when needed during office hours? Not Applicable
The effectiveness of our health information materials?	The effectiveness of our health information materials? Excellent	The effectiveness of our health information materials? Very Good	The effectiveness of our health information materials? Good	The effectiveness of our health information materials? Fair	The effectiveness of our health information materials? Poor	The effectiveness of our health information materials? Not Applicable
Your ability to contact us after hours?	Your ability to contact us after hours? Excellent	Your ability to contact us after hours? Very Good	Your ability to contact us after hours? Good	Your ability to contact us after hours? Fair	Your ability to contact us after hours? Poor	Your ability to contact us after hours? Not Applicable
The time taken to listen and answer your questions?	The time taken to listen and answer your questions? Excellent	The time taken to listen and answer your questions? Very Good	The time taken to listen and answer your questions? Good	The time taken to listen and answer your questions? Fair	The time taken to listen and answer your questions? Poor	The time taken to listen and answer your questions? Not Applicable
The amount of time the provider spent with you?	The amount of time the provider spent with you? Excellent	The amount of time the provider spent with you? Very Good	The amount of time the provider spent with you? Good	The amount of time the provider spent with you? Fair	The amount of time the provider spent with you? Poor	The amount of time the provider spent with you? Not Applicable
The instructions given regarding medication/follow-up care?	The instructions given regarding medication/follow-up care? Excellent	The instructions given regarding medication/follow-up care? Very Good	The instructions given regarding medication/follow-up care? Good	The instructions given regarding medication/follow-up care? Fair	The instructions given regarding medication/follow-up care? Poor	The instructions given regarding medication/follow-up care? Not Applicable
If we knew important information about your medical history?	If we knew important information about your medical history? Excellent	If we knew important information about your medical history? Very Good	If we knew important information about your medical history? Good	If we knew important information about your medical history? Fair	If we knew important information about your medical history? Poor	If we knew important information about your medical history? Not Applicable
The ease of being able to follow signage and directions?	The ease of being able to follow signage and directions? Excellent	The ease of being able to follow signage and directions? Very Good	The ease of being able to follow signage and directions? Good	The ease of being able to follow signage and directions? Fair	The ease of being able to follow signage and directions? Poor	The ease of being able to follow signage and directions? Not Applicable
Our practice?	Our practice? Excellent	Our practice? Very Good	Our practice? Good	Our practice? Fair	Our practice? Poor	Our practice? Not Applicable
The quality of your medical care?	The quality of your medical care? Excellent	The quality of your medical care? Very Good	The quality of your medical care? Good	The quality of your medical care? Fair	The quality of your medical care? Poor	The quality of your medical care? Not Applicable
The convenience of hours of operation?	The convenience of hours of operation? Excellent	The convenience of hours of operation? Very Good	The convenience of hours of operation? Good	The convenience of hours of operation? Fair	The convenience of hours of operation? Poor	The convenience of hours of operation? Not Applicable
How would you rate our practice and providers to your friends and family?	How would you rate our practice and providers to your friends and family? Excellent	How would you rate our practice and providers to your friends and family? Very Good	How would you rate our practice and providers to your friends and family? Good	How would you rate our practice and providers to your friends and family? Fair	How would you rate our practice and providers to your friends and family? Poor	How would you rate our practice and providers to your friends and family? Not Applicable
How would you rate how well we informed you of our Sliding Fee policy?	How would you rate how well we informed you of our Sliding Fee policy? Excellent	How would you rate how well we informed you of our Sliding Fee policy? Very Good	How would you rate how well we informed you of our Sliding Fee policy? Good	How would you rate how well we informed you of our Sliding Fee policy? Fair	How would you rate how well we informed you of our Sliding Fee policy? Poor	How would you rate how well we informed you of our Sliding Fee policy? Not Applicable
If you are on Sliding Fee, how would you rate how affordable the nominal fee is?	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Excellent	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Very Good	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Good	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Fair	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Poor	If you are on Sliding Fee, how would you rate how affordable the nominal fee is? Not Applicable
How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs?	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Excellent	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Very Good	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Good	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Fair	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Poor	How would you rate how well the provider included you in your healthcare decisions, including medical, behavioral health, and social needs? Not Applicable
How would you rate the helpfulness of the people who assisted you with your referrals or basic needs?	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Excellent	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Very Good	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Good	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Fair	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Poor	How would you rate the helpfulness of the people who assisted you with your referrals or basic needs? Not Applicable

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* 3. Please add any additional comments.

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* 4. Do you currently use our pharmacy services located at either our Blasdell, Mattina or Riverway locations? If yes, please answer the next set of questions.

Yes