Patient Satisfaction Survey

MCPHD Patient Satisfaction Survey

We want to know how you feel about the services provided to you by our medical, dental, and/or behavioral health staff.  Completion of this survey is optional and anonymous. Your input is very important to us. Thank you!
1.Where did you receive services?
2.Which services did you receive?
3.What is your age category?
4.Gender
5.Race/Ethnicity
6.Convenience of our location
Poor
Fair
Good
Excellent
7.Hours we are open
Poor
Fair
Good
Excellent
8.Ability to get an appointment
Poor
Fair
Good
Excellent
9.Prompt return of your calls
Poor
Fair
Good
Excellent
10.Time spent in waiting room
Poor
Fair
Good
Excellent
11.Time spent in the exam room
Poor
Fair
Good
Excellent
N/A
12.Time spent waiting for test results
Poor
Fair
Good
Excellent
N/A
13.Cleanliness of the clinic
Poor
Fair
Good
Excellent
14.Comfort and privacy in the clinic
Poor
Fair
Good
Excellent
15.Providers (physicians, dentists, nurse practitioners, counselors) listen to you
Poor
Fair
Good
Excellent
16.Providers (physicians, dentists, nurse practitioners, counselors) spend enough time with you
Poor
Fair
Good
Excellent
17.Providers (physicians, dentists, nurse practitioners, counselors) explain what you need to know
Poor
Fair
Good
Excellent
18.Providers (physicians, dentists, nurse practitioners, counselors) give you good advice
Poor
Fair
Good
Excellent
19.Providers (physicians, dentists, nurse practitioners, counselors) provides good treatment
Poor
Fair
Good
Excellent
20.Medical and Dental Assistants and all other staff are friendly and helpful to you
Poor
Fair
Good
Excellent
21.Medical and Dental Assistants and all other staff answer your questions
Poor
Fair
Good
22.Medical and Dental Assistants and all other staff are attentive to your needs
Poor
Fair
Good
Excellent
23.The cost of our services
Poor
Fair
Good
Excellent
24.Sliding Scale fee charge
Poor
Fair
Good
Excellent
25.What do you like best about our clinic?
26.What are your suggestions for improvement for the clinic?
27.If the Clinic were to add hours, which of the hours would meet your needs?