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CHCFC Patient Satisfaction Survey

We REALLY want to make our services more valuable to you. To do that, we depend on your FEEDBACK. 
THANK YOU for taking  a few minutes to complete this brief survey. 
1.Please select any provider(s) that you have seen in the past 6 months.
2.Please Tell Us About Your Care From This Provider in the Last 6 Months.
Always
Usually
Sometimes
Never
In the last 6 months, how often did your provider explain things to you in a way that was easy to understand?
In the last 6 months, do you feel that the issues you made an appointment for were addressed?
In the last 6 months, did you feel listened to and respected by the provider you were seeing?
3.How would you rate your experience with this provider?
Lowest Rating
Highest Rating
4.Please Tell Us About Your Experience With Accessing Appointments in Our Health Center
Always
Usually
Sometimes
Never
When you contacted the Health Center to get an appointment for a check-up or routine care, how often did you get an appointment as soon as you need it? 
When you contacted us during regular office hours, how often did you get an answer to your question that same day?
When scheduling an appointment for care you needed right away, how often were you able to see the clinician you wanted? 
5.Please Tell Us About Your Experience With Our Receptionists, and Patient Service Representatives.
Always
Usually
Sometimes
Never
While visiting our office, did you feel listened to and respected by our staff other than the provider(s)?
While on the phone, did you feel listened to and respected by our staff other than the providers(s)?
6.When you call into the Health Center, the call is answered and my needs are addressed.
7.If you called to schedule, change, or confirm an appointment, how often were you satisfied with the results?
8.If you spoke with one of our Patient Services Representatives, how would you describe the customer service level of that person?
9.Did you receive information about what to do if you needed care when the office was closed?
10.Are you aware that financial assistance is available?
11.Are you aware that the Health Center can offer you a Sliding Fee based on your income?
12.If you used the Sliding Fee Discount Program, did the discount you receive make the care affordable?
13.When you request a refill, I get my medications refilled in a timely manner.
14.I find my MyChart patient portal to be a useful tool in my healthcare management.
15.I get timely responses from my clinical team when communicating through the MyChart patient portal.
16.How likely would you be to recommend the Community Health Center to your family and friends?
Lowest Rating
Highest Rating
17.If you would like for us to contact you to follow up, please tells us how we may contact you.