Northeastern Tribal Health System Patient Survey

1.What department were you seen in today?(Required.)
2.Pleas select the appropriate age range for yourself (the patient).(Required.)
3.Appointment available within a reasonable time?
4.Overall efficiency of check-in process?
5.Wait time in the exam room?
6.If appointment was delayed, how well did we do at keeping you informed of the delay?
7.If a referral was required, how did we do at making the process easy for you?
8.Caring / Concern / Professionalism of the NTHS staff?
9.Phone calls are returned promptly?
10.Explanation of your health concerns / questions?
11.Test results available within a reasonable amount of time?
12.Clarity and effectiveness of the health information material provided?
13.Wait time for your in-clinic prescriptions to be filled?
14.Cleanliness of the clinic?
15.Overall satisfaction of care from your medical home provider?
16.Suggestions for improvement: