Sunridge Clinic Patient Satisfaction Survey

Mosaic is currently seeking patient feedback on the design and approach for our new Sunridge Clinic opening later this year.

Please complete this brief survey. Participation is voluntary and will remain anonymous. We appreciate your insights!

Question Title

* 1. On a scale of 1 to 5 (5 being most important), what makes a clinic visit a positive experience for you?

	1	2	3	4	5
The clinic is easy to find and accessible	The clinic is easy to find and accessible 1	The clinic is easy to find and accessible 2	The clinic is easy to find and accessible 3	The clinic is easy to find and accessible 4	The clinic is easy to find and accessible 5
Friendly front desk staff	Friendly front desk staff 1	Friendly front desk staff 2	Friendly front desk staff 3	Friendly front desk staff 4	Friendly front desk staff 5
Clear signage when entering the clinic as to where to go	Clear signage when entering the clinic as to where to go 1	Clear signage when entering the clinic as to where to go 2	Clear signage when entering the clinic as to where to go 3	Clear signage when entering the clinic as to where to go 4	Clear signage when entering the clinic as to where to go 5
Space that is easy to navigate	Space that is easy to navigate 1	Space that is easy to navigate 2	Space that is easy to navigate 3	Space that is easy to navigate 4	Space that is easy to navigate 5
Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated	Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated 1	Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated 2	Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated 3	Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated 4	Treatment rooms (the room of your appointment) that are relaxing, well-lit, and appropriately decorated 5
Cleanliness	Cleanliness 1	Cleanliness 2	Cleanliness 3	Cleanliness 4	Cleanliness 5
The clinic is close by to other services	The clinic is close by to other services 1	The clinic is close by to other services 2	The clinic is close by to other services 3	The clinic is close by to other services 4	The clinic is close by to other services 5
The wait time is not too long	The wait time is not too long 1	The wait time is not too long 2	The wait time is not too long 3	The wait time is not too long 4	The wait time is not too long 5

Question Title

* **2. What is important to you in a waiting area (rate from most important to least important)? * Assign a rank to each**

Question Title

* 3. How important is privacy to you in a clinic?

Not important

Somewhat important

Very important

Not important

Somewhat important

Very important

Question Title

* 4. What is your biggest barrier to attending an appointment in a clinic?

Language

Transportation

Forgetting about the appointment

Fear of going to a clinic

Other (please specify)

Question Title

* 5. Are there other elements of a clinic design that are important to you? (I.e. artwork, layout, culturally inclusive, accessible, patient flow).

Please provide a brief response

Sunridge Clinic Patient Satisfaction Survey

Question Title

* 1. On a scale of 1 to 5 (5 being most important), what makes a clinic visit a positive experience for you?

Question Title

* 2. What is important to you in a waiting area (rate from most important to least important)? * Assign a rank to each

Question Title

* 3. How important is privacy to you in a clinic?

Question Title

* 4. What is your biggest barrier to attending an appointment in a clinic?

Question Title

* 5. Are there other elements of a clinic design that are important to you? (I.e. artwork, layout, culturally inclusive, accessible, patient flow). Please provide a brief response

* **2. What is important to you in a waiting area (rate from most important to least important)? * Assign a rank to each**

* 5. Are there other elements of a clinic design that are important to you? (I.e. artwork, layout, culturally inclusive, accessible, patient flow).

Please provide a brief response