Oregon Integrated Health Patient Experience Survey Thank you for your input! Question Title * 1. Our records show that you got care from the provider named below in the last 6 months in person, by phone, or by video. Is that correct? (Choose Multiple as Needed) Kyle Lapoint, Naturopathic Doctor Vanessa Esteves, Naturopathic Doctor, MBA James Hermes, Naturopathic Doctor Dustin Carlson, Family Nurse Practitioner Kyna Knights, Expanded Practice Dental Hygienist Amaelo Ezeonwuka, Counselor - LPCA Intern Chelsey Jameson, ND John Howell, DC John Foland, DC Lonnie Neer, LAc Nancy Feltner, PMHNP Melanie Parker, PMHNP Christopher Tucker, LPC Alexandria Link, LPC Serena Appel, LPC Leighanna Jagels, ND Lacey Mills, DNP Dawn Brockett, FNP Nora Abbas, ND Brianne DiFalco, FNP Oni Gilmore, ND Kaitlyn Selser, LPC Lauren Buse, FNP Amanda Aldrich, FNP Kim Schmaltz, ND Lorie Kelley, FNP John Wilcox, FNP Celena Shivers, PMHNP Other (please specify other Provider Name) Question Title * 2. Is this the provider you usually see if you need a checkup,want advice about a health problem, or get sick orhurt? Yes No Other (please specify) Question Title * 3. How long have you been going to this provider? Less than 6 months At least 6 months but less than 1 year At least 1 year but less than 3 years At least 3 years but less than 5 years 5 years or more Other (please specify) Question Title * 4. In the last 6 months, how many times did you visit this provider to get care for yourself? 1-2 3-4 5-9 10 or more Other (please specify) Question Title * 5. In the last 6 months, did you contact this provider’s office to get an appointment for an illness, injury, or condition that needed care right away? Yes No Question Title * 6. In the last 6 months, when you contacted this provider’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? Never Sometimes Usually Always Question Title * 7. In the last 6 months, did you make any appointments for a check-up or routine care with this provider? Yes No Question Title * 8. In the last 6 months, when you made an appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed? Never Sometimes Usually Always Question Title * 9. In the last 6 months, did you contact this provider’s office with a medical question during regular office hours? Yes No Question Title * 10. In the last 6 months, when you contacted this provider’s office during regular office hours, how often did you get an answer to your medical question that same day? Never Sometimes Usually Always Question Title * 11. In the last 6 months, how often did this provider explain things in a way that was easy to understand? Never Sometimes Usually Always Question Title * 12. In the last 6 months, how often did this provider listen carefully to you? Never Sometimes Usually Always Question Title * 13. In the last 6 months, how often did this provider seem to know the important information about your medical history? Never Sometimes Usually Always Question Title * 14. In the last 6 months, how often did this provider show respect for what you had to say? Never Sometimes Usually Always Question Title * 15. In the last 6 months, how often did this provider spend enough time with you? Always Usually Sometimes Never Question Title * 16. In the last 6 months, did this provider order a blood test, x-ray, or other test for you? Yes No Question Title * 17. In the last 6 months, when this provider ordered a blood test, x-ray, or other test for you, how often did someone from this provider’s office follow up to give you those results? Always Usually Sometimes Never Not Applicable Question Title * 18. In the last 6 months, did you take any prescription medicine? Yes No Question Title * 19. In the last 6 months, how often did you and someone from this provider’s office talk about all the prescription medicines you were taking? Always Usually Sometimes Never Question Title * 20. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? 10 9 8 7 6 5 4 3 2 1 0 Other (please specify) Question Title * 21. In the last 6 months, how often was scheduling for this provider’s office as helpful as you thought they should be? Always Usually Sometimes Never Other (please specify) Question Title * 22. In the last 6 months, how often were schedulers for this provider’s office treat you with courtesy and respect? Always Usually Sometimes Never Question Title * 23. How has your overall experience been with Oregon Integrated Health? WORST BEST WORST BEST Other (please specify) Question Title * 24. In the Past 6 Months have you used the OIH Oral Health Services with Kyna Knights, EPDH? Yes No Other (please specify) Question Title * 25. Using any number from 0 to 10, where 0 is the worst oral care possible and 10 is the best oral care possible, what number would you use to rate all of the oral care you personally received at OIH in the last 6 months worst best worst best Question Title * 26. In the past 6 Months have you used the OIH Behavioral Health Services with Kaitlyn Selser, LPC?Behavioral Health Counselors also known as BHC’s, are Licensed Counselors that specialize in managing mental and behavioral health conditions, such as stress, Weight Loss, Stop Smoking programs. BHC have been designed to work as part of the medical team directly working with your primary care physician. Behavioral Health Counselors have been added to the Oregon Integrated team to help support each Primary Care Physician with the overall health of each patient. SAME DAY APPOINTMENTS AVAILABLEThe BHC has same day appointments available that are - 30 minutes long to provide you strategies and a plan to reach your goals. They can see patients through both Telemedicine & In Clinic. Yes No Other (please specify) Question Title * 27. Using any number from 0 to 10, where 0 is the worst BHC appointment and experience possible and 10 is the best BHC appointment and experiencepossible, what number would you use to rate Kaitlyn Selser and the BHC Program at OIH you personally received.What number would you use to rate the Behavioral Health Counseling you personally received in the last 6 months? worst best worst best Question Title * 28. In general, how would you rate your overall health? EXCELLENT Very Good Good Fair Poor Other (please specify) Question Title * 29. What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65+ Other (please specify) Question Title * 30. What is the highest grade or level of school that you have completed? 8th grade or less Some high school, but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than 4-year college degree Question Title * 31. Are you of Hispanic or Latino origin or descent? Yes, Hispanic or Latino No, not Hispanic or Latino Question Title * 32. 32) What is your race? Mark one or more White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native Other Question Title * 33. In general, how would you rate your overall mental oremotional health Excellent Very Good Good Fair Poor Other (please specify) Question Title * 34. Are you male or female? Male Female I identify as:use the space in other Prefer not to state Other (please specify) Question Title * 35. In the last 6 months, were any of your visits with this provider... In person? By phone? By video call? All of the Above Question Title * 36. Did someone help you complete this survey Yes No Question Title * 37. How did that person help you? Mark one or more Read the questions to me Wrote down the answers I gave Translated the questions into my language Helped in some other way Other (please specify) Done