Primary Health Choice, Inc.
Stakeholder Survey
As part of PHC's ongoing commitment to quality service, we would like to obtain some feedback from you regarding your perception of our services.
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1.
Please choose the Stakeholder category that best fits you:
(Required.)
Referral Source (counselor, probation officer, etc.)
Client's Parent or Guardian
Client's Counselor (school, mental health, etc.)
Board of Directors Member for Primary Health Choice
Funding Provider for Primary Health Choice
Other (please specify)
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2.
Primary Health Choice provides a needed and valuable service to the community.
(Required.)
Firmly agree
Agree
Neutral
Disagree
Firmly disagree
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3.
Clients of Primary Health Choice receive quality care.
(Required.)
Firmly agree
Agree
Neutral
Disagree
Firmly disagree
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4.
Primary Health Choice treats its clients in a fair, ethical and culturally sensitive way.
(Required.)
Firmly agree
Agree
Neutral
Disagree
Firmly disagree
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5.
Clients who are referred to Primary Health Choice are responded to in an effective and efficient manner.
(Required.)
Firmly agree
Agree
Neutral
Disagree
Fimly disagree
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6.
Overall services provided by Primary Health Choice are outstanding.
(Required.)
Firmly agree
Agree
Neutral
Disagree
Firmly disagree
7.
Please provide any additional comments. Thank you for using Primary Health Choice!
