EXIT

Patient Satisfaction Survey - Rate Your Visit

Please rate your most recent visit to The Family Health Centers.

Question Title

* 1. Ease of scheduling your appointment

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 2. Cleanliness and appearance of our facility

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 3. Wait time for the provider

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 4. Respect and courtesy shown by the front desk staff

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 5. Respect and courtesy shown by our nursing staff

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 6. Overall care you received from your Provider

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 7. Overall care you received during Lab Work, X-Rays or Bone Density Screenings

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 8. Clarity of treatment plan and/or follow-up instructions

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 9. Ease of access to members of our Patient Care Team before and after your appointment

Excellent

Good

Average

Below Average

Poor

N/A

Question Title

* 10. Overall experience of appointment.

Very positive.

Somewhat positive.

Neither negative nor positive.

Somewhat negative.

Very negative.

Question Title

* 11. Likelihood of returning to The Family Health Centers for future care

Very likely

Somewhat likely

Not sure

Somewhat unlikely

Very unlikely

N/A

Question Title

* 12. Likelihood of recommending The Family Health Centers to family or friends

Very likely

Somewhat likely

Not sure

Somewhat unlikely

Very unlikely

N/A