Tulare County Health Care Centers Satisfaction Survey 2024

1. Patient Satisfaction

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* 1. Location:

Visalia

Farmersville

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* 2. Which provider did you see for your visit today?

Boken

Chen

Coverston

Monell

Karimpour

Kumar

Lin

Ow-Yong

Siddiqi

Javed

Nance-Chastain

Sanchez

Kaur

Vang

Arias

Igboerika

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* 3. What is the age of the patient?

Under 18

18-24 years

25-29 years

30-34 years

35-39 years

40-44 years

45-49 years

50-54 years

55-59 years

60-64 years

65-69 years

70-74 years

75-79 years

80-84 years

over 85 years

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* 4. What is your gender?

Male

Female

Male to Female

Female to Male

Other

Prefer not to answer

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* 5. During your visit how well did the staff respect your needs related to your gender:

Great

Good

Could have been better

Not great

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* 6. What is your sexual orientation?

Straight

Gay

Lesbian

Bisexual

Something Else

Prefer not to answer

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* 7. During your visit, how well did the staff respect your needs related to sexual orientation:

Great

Good

Could have been better

Not great

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* 8. Are you a new or returning patient?

New

Returning

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* 9. In the last six months was it easy to get the care, tests, or treatments you needed?

Yes

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* 10. Please indicate how well you think we are doing in the following areas:

Great- 5
Good- 4
Ok- 3
Fair- 2
Poor- 1

	5	4	3	2	1
Ability to get in to be seen	Ability to get in to be seen 5	Ability to get in to be seen 4	Ability to get in to be seen 3	Ability to get in to be seen 2	Ability to get in to be seen 1
Hours Center is open	Hours Center is open 5	Hours Center is open 4	Hours Center is open 3	Hours Center is open 2	Hours Center is open 1
Ease of registration process	Ease of registration process 5	Ease of registration process 4	Ease of registration process 3	Ease of registration process 2	Ease of registration process 1
Time in waiting room	Time in waiting room 5	Time in waiting room 4	Time in waiting room 3	Time in waiting room 2	Time in waiting room 1
Time waiting in exam room	Time waiting in exam room 5	Time waiting in exam room 4	Time waiting in exam room 3	Time waiting in exam room 2	Time waiting in exam room 1
Your provider/doctor listens to you	Your provider/doctor listens to you 5	Your provider/doctor listens to you 4	Your provider/doctor listens to you 3	Your provider/doctor listens to you 2	Your provider/doctor listens to you 1
Your provider/doctor explains what you want to know	Your provider/doctor explains what you want to know 5	Your provider/doctor explains what you want to know 4	Your provider/doctor explains what you want to know 3	Your provider/doctor explains what you want to know 2	Your provider/doctor explains what you want to know 1
Health Center staff are friendly	Health Center staff are friendly 5	Health Center staff are friendly 4	Health Center staff are friendly 3	Health Center staff are friendly 2	Health Center staff are friendly 1
Health Center building is neat and clean	Health Center building is neat and clean 5	Health Center building is neat and clean 4	Health Center building is neat and clean 3	Health Center building is neat and clean 2	Health Center building is neat and clean 1

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* 11. Are you currently receiving services under the sliding fee program?

Yes

Tulare County Health Care Centers Satisfaction Survey 2024

1. Patient Satisfaction

Question Title

* 1. Location:

Question Title

* 2. Which provider did you see for your visit today?

Question Title

* 3. What is the age of the patient?

Question Title

* 4. What is your gender?

Question Title

* 5. During your visit how well did the staff respect your needs related to your gender:

Question Title

* 6. What is your sexual orientation?

Question Title

* 7. During your visit, how well did the staff respect your needs related to sexual orientation:

Question Title

* 8. Are you a new or returning patient?

Question Title

* 9. In the last six months was it easy to get the care, tests, or treatments you needed?

Question Title

* 10. Please indicate how well you think we are doing in the following areas:Great- 5Good- 4Ok- 3Fair- 2Poor- 1

Question Title

* 11. Are you currently receiving services under the sliding fee program?

* 10. Please indicate how well you think we are doing in the following areas:

Great- 5
Good- 4
Ok- 3
Fair- 2
Poor- 1