Primary Care Patient Experience Survey 2021-2022

Four Counties Family Health Team Patient Experience Survey

The Four Counties Family Health Team is dedicated to ensuring patient satisfaction and providing the best quality care. This short survey will take approximately 5 minutes to complete.

Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential.

Question Title

* 1. Please identify your primary care provider.

Dr. Robert Parnell

Dr. Chris Hull

Dr. Jeremy Keller

Dr. Monica Faria

Question Title

* 2. The last time you were sick or were concerned you had a health problem: How many days did it take from when you first contacted the clinic to see your doctor to when you actually SAW him/her or someone else in their office?

Same day

Next day

20 or more days

Date of choice was given

2-19 days (enter # of days):

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* 3. When you see your doctor or allied health team member, how often do they:

	Never	Rarely	Sometimes	Often	Always
Give you an opportunity to ask questions about recommended treatment.	Give you an opportunity to ask questions about recommended treatment. Never	Give you an opportunity to ask questions about recommended treatment. Rarely	Give you an opportunity to ask questions about recommended treatment. Sometimes	Give you an opportunity to ask questions about recommended treatment. Often	Give you an opportunity to ask questions about recommended treatment. Always
Involve you as much as possible in decisions about your care and treatment.	Involve you as much as possible in decisions about your care and treatment. Never	Involve you as much as possible in decisions about your care and treatment. Rarely	Involve you as much as possible in decisions about your care and treatment. Sometimes	Involve you as much as possible in decisions about your care and treatment. Often	Involve you as much as possible in decisions about your care and treatment. Always
Spend enough time with you.	Spend enough time with you. Never	Spend enough time with you. Rarely	Spend enough time with you. Sometimes	Spend enough time with you. Often	Spend enough time with you. Always

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* 4. During the COVID-19 pandemic, we introduced phone appointments. How satisfied were you with this type of appointment?

Always

Usually

Rarely

Never

I have not had a phone appointment.

If you would like to provide additional feedback, please use the space below:

FEEDBACK (OPTIONAL)
Thinking of your overall experience with our office/clinic:

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* 5. What are two (2) things we do particularly well?

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* 6. What are two (2) things we could improve on?

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* 7. Is there any additional information or feedback you would like to share with us that could help us improve the way we provide care?

Thank you for completing our survey.