Dena'ina Wellness Center (DWC) Un'ina Survey

Dena'ina Wellness Center un ina Survey

Dear Un’ina,

Thank you for your visit to the Dena’ina Wellness Center. We want to help you achieve wellness and we want to give you the very best service and quality. That’s why we are asking you to take a moment today to fill out a survey. Your answers will help us measure how we are doing across a range of topics that we know are important to you. We will be able to identify our strengths and weaknesses and make improvements. They will also guide us as we work to continuously improve.

Please let us know if you need assistance completing this survey.

Question Title

* 1. Today my visit was with?

Behavioral Health

Dental

Optometry

Primary Care

Wellness (Traditional Healing, Physical Therapy, Fitness, Tobacco Cessation, Nutrition Counseling , Wellness Coaching or Wellness Event)

Youth Services

Other (ex. DWC billing, DWC pharmacy, DWC facilities) (please specify)

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* 2. DWC un ina survey

	Strongly Agree	Agree	Neither Agree or Disagree	Disagree	Strongly Disagree
The reception desk staff provided excellent customer service.	The reception desk staff provided excellent customer service. Strongly Agree	The reception desk staff provided excellent customer service. Agree	The reception desk staff provided excellent customer service. Neither Agree or Disagree	The reception desk staff provided excellent customer service. Disagree	The reception desk staff provided excellent customer service. Strongly Disagree
The department I visited today gave me clear and helpful information.	The department I visited today gave me clear and helpful information. Strongly Agree	The department I visited today gave me clear and helpful information. Agree	The department I visited today gave me clear and helpful information. Neither Agree or Disagree	The department I visited today gave me clear and helpful information. Disagree	The department I visited today gave me clear and helpful information. Strongly Disagree
The department I visited today was knowledgeable and discussed my personalized treatment plan.	The department I visited today was knowledgeable and discussed my personalized treatment plan. Strongly Agree	The department I visited today was knowledgeable and discussed my personalized treatment plan. Agree	The department I visited today was knowledgeable and discussed my personalized treatment plan. Neither Agree or Disagree	The department I visited today was knowledgeable and discussed my personalized treatment plan. Disagree	The department I visited today was knowledgeable and discussed my personalized treatment plan. Strongly Disagree
I was included in decisions about my treatment?	I was included in decisions about my treatment? Strongly Agree	I was included in decisions about my treatment? Agree	I was included in decisions about my treatment? Neither Agree or Disagree	I was included in decisions about my treatment? Disagree	I was included in decisions about my treatment? Strongly Disagree
I feel more able to manage my health as a result of talking with my provider.	I feel more able to manage my health as a result of talking with my provider. Strongly Agree	I feel more able to manage my health as a result of talking with my provider. Agree	I feel more able to manage my health as a result of talking with my provider. Neither Agree or Disagree	I feel more able to manage my health as a result of talking with my provider. Disagree	I feel more able to manage my health as a result of talking with my provider. Strongly Disagree
Overall, the care I receive at the Dena’ina Wellness Center meets my needs.	Overall, the care I receive at the Dena’ina Wellness Center meets my needs. Strongly Agree	Overall, the care I receive at the Dena’ina Wellness Center meets my needs. Agree	Overall, the care I receive at the Dena’ina Wellness Center meets my needs. Neither Agree or Disagree	Overall, the care I receive at the Dena’ina Wellness Center meets my needs. Disagree	Overall, the care I receive at the Dena’ina Wellness Center meets my needs. Strongly Disagree

Question Title

* 3. We welcome additional comments. If you would like to be contacted to discuss your comment, please leave your name and number. Chiqinik (Thank you).

Question Title

* 4. My provider (every person who entered my room for my care today) used hand sanitizer and/or washed their hands upon entering and exiting the room?

Yes

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100% of survey complete.