How Can We Improve?

2023 V2
This survey will be anonymous unless providing your contact information below.

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* 1. In your recent experience(s), please rate your ability to be seen for an appointment as soon as you needed it.

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* 2. In your recent experience(s), please rate how well your healthcare provider explained your care. Were they easy to understand?

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* 3. In your recent experience(s), when a KCHC provider ordered a blood test, x-ray, or other test for you, how satisfied are you with the timeliness/communication about your results?

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* 4. Please rate KCHC staff on assistance with any problems/barriers you have to getting the healthcare you need. (For example: Transportation or language)

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* 5. Please rate your most recent experience with our Front Desk Staff.

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* 6. Please rate your most recent billing experience.

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* 7. Do you or your family qualify for our sliding fee scale?

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* 8. Please rate your most recent experience with the person who assisted your KCHC provider. (For example: Registered Nurse, Medical Assistant, Licensed Practical Nurse)

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* 9. Please rate your most recent experience with your KCHC provider. (For Example: Doctor, Physicians Assistant, Nurse Practitioner, Dietitian, or Social Worker)

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* 10. Who was your KCHC provider for your most recent visit?

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* 11. Did your medical provider/team consider insurance/barrier of cost to prescribing medication?

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* 12. If your visit was virtual/ telehealth, please rate your experience with the technology.

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* 13. Is there anything else you would like us to know? 

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* 14. Are there any KCHC staff members you'd like to honor, recognize, or thank on your behalf?

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* 15. May we contact you regarding any of your answers or comments above?

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* 16. If yes, please provide some contact information below.

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