Patient Satisfaction Survey
Thank you for choosing Sunshine Community Health Center (SCHC) as your medical home. We are here to serve you and appreciate your feedback for continuous improvement.
1.
In your most recent experience, please rate your ability to reach SCHC by phone for any of your needs.
Very dissatisfied
1 star
2 stars
Neither dissatisfied nor satisfied
3 stars
4 stars
Very satisfied
5 stars
Comments:
2.
In your most recent experience, please rate your ability to be seen for an appointment as soon as you needed it.
Very dissatisfied
1 star
2 stars
Neither dissatisfied nor satisfied
3 stars
4 stars
Very satisfied
5 stars
Comments:
3.
In your most recent experience(s), please rate how well your medical, dental or behavioral health care provider explained your care. Were they easy to understand?
I don't feel like I understand my care plan
1 star
2 stars
Neutral
3 stars
4 stars
I fully understand my care plan and my next steps
5 stars
Comments:
4.
In your most recent experience(s), when a SCHC provider ordered diagnostic/screenings like blood tests, x-rays, or other tests, how satisfied were you with the timeliness of communication about your results?
Very dissatisfied
1 star
2 stars
Neither dissatisfied nor satisfied
3 stars
4 stars
Very satisfied
5 stars
Comments:
5.
In your most recent experience, did SCHC staff offer additional services (i.e. application assistance/insurance enrollment) and/or community resources (i.e. transportation services/food bank)?
Yes
No
Other (please specify)
6.
In your most recent experience, please rate SCHC's check-in process.
Very dissatisfied
1 star
2 stars
Neither dissatisfied nor satisfied
3 stars
4 stars
Very satisfied
5 stars
Comments:
7.
In your most recent experience, please rate SCHC's billing process.
Very dissatisfied
1 star
2 stars
Neither dissatisfied nor satisfied
3 stars
4 stars
Very satisfied
5 stars
Comments:
8.
SCHC offers health services to treat the whole person including medical, dental and behavioral health. Please select the services you receive at SCHC:
Medical
Dental
Behavioral Health
Application Assistance/Patient Advocacy
Ancillary Services (i.e. lab/imaging)
Case Management
Group Services
What other services would you like to see at SCHC?
9.
In your most recent experience, did SCHC's staff treat you with respect and listen to your needs?
Yes
No
Other (please explain):
10.
Did you know that SCHC offers a Sliding Fee Scale for patients who are under-insured or with no insurance?
Yes
No
Other (please explain):
11.
Do SCHC's hours of operation fit your needs?
Yes
No
Other (please explain):
12.
Are there any SCHC staff members who you would like us to honor, recognize or thank on your behalf? If so, please tell us who and why:
13.
During your visit, what was done well and what could we do to improve your experience?
