Focus Group Survey
Exit this survey
1
. Are you currently enrolled and receiving VA healthcare?
Are you currently enrolled and receiving VA healthcare?
Yes
No
Other (please specify)
*
2
. Name of your facility
Name of your facility
Baltimore VA Medical Center (Baltimore, Maryland)
Biloxi VA Medical Center (Biloxi, Missouri)
Charleston VA Medical Center (Charleston, South Carolina)
Chicago VA Medical Center (Chicago, Illinois)
Cincinnati VA Medical Center (Cincinnati, Ohio)
Columbia VA Medical Center (Columbia, South Carolina)
Columbus VA Medical Center (Columbus, Ohio)
Des Moines VA Medical Center (Des Moines, Iowa)
Durham VA Medical Center (Durham, North Carolina)
Long Beach VA Medical Center (Long Beach, California)
Lyons VA Medical Center (Lyons, New Jersey)
Manhattan VA Medical Center (New York City, New York)
Memphis VA Medical Center (Memphis, Tennessee)
Milwaukee VA Medical Center (Milwaukee, Wisconsin)
Nashville VA Medical Center (Nashville, Tennessee)
New Orleans VA Medical Center (New Orleans, Louisana)
Omaha VA Medical Center (Omaha, Nebraska)
Portland VA Medical Center (Portland, Oregon)
Sacramento VA Medical Center (Sacramento, California)
Saint Louis VA Medical Center (Saint Louis, Missouri)
Salisbury VA Medical Center (Salisbury, North Carolina)
San Diego VA Medical Center (San Diego, California)
San Francisco VA Medical Center (San Francisco, California)
Vancouver VA Medical Center (Vancouver, Washington)
District of Columbia VA Medical Center (District of Columbia)
3
. Is there a problem with scheduling appointments?
Is there a problem with scheduling appointments?
Never
Sometimes
Usually
Always
4
. When scheduling appointments are you assigned a doctor?
When scheduling appointments are you assigned a doctor?
Yes
No
5
. If you are not assigned a doctor then who is providing your primary care?
If you are not assigned a doctor then who is providing your primary care?
Physician Assistant
Nurse Practitioner
Registered Nurse
Other (please specify)
6
. If you are not assigned a doctor then who is providing your specialty care?
If you are not assigned a doctor then who is providing your specialty care?
Physician Assistant
Nurse Practitioner
Registered Nurse
Other (please specify)
7
. When arriving at a VA medical facility, are there problems with parking?
When arriving at a VA medical facility, are there problems with parking?
Never
Sometimes
Usually
Always
8
. If the facility has valet service, how was your experience with the service?
If the facility has valet service, how was your experience with the service?
Positive
Negative
9
. Upon arriving at a VA medical facility, were you greeted at the customer service desk?
Upon arriving at a VA medical facility, were you greeted at the customer service desk?
Never
Sometimes
Usually
Always
10
. When receiving care at a VA medical facility, were nursing assistants courteous?
When receiving care at a VA medical facility, were nursing assistants courteous?
Never
Sometimes
Usually
Always
11
. When receiving care at a VA medical facility, were nurses courteous?
When receiving care at a VA medical facility, were nurses courteous?
Never
Sometimes
Usually
Always
12
. When receiving care at a VA medical facility, were doctors courteous?
When receiving care at a VA medical facility, were doctors courteous?
Never
Sometimes
Usually
Always
13
. When receiving care at a VA medical facility, did doctors listen to your concerns?
When receiving care at a VA medical facility, did doctors listen to your concerns?
Never
Sometimes
Usually
Always
14
. When receiving care at a VA medical facility, did nurses listen to your concerns?
When receiving care at a VA medical facility, did nurses listen to your concerns?
Never
Sometimes
Usually
Always
15
. During your stay at a VA medical facility, did your nurse respond to you in a timely manner?
During your stay at a VA medical facility, did your nurse respond to you in a timely manner?
Never
Sometimes
Usually
Always
16
. When receiving care at a VA medical facility, was information explained well?
When receiving care at a VA medical facility, was information explained well?
Never
Sometimes
Usually
Always
17
. During your stay at a VA medical facility, were the bathrooms clean?
During your stay at a VA medical facility, were the bathrooms clean?
Never
Sometimes
Usually
Always
18
. When receiving medical treatment, did medical instruments appear clean?
When receiving medical treatment, did medical instruments appear clean?
Never
Sometimes
Usually
Always
19
. During your stay at a VA medical facility, were the rooms clean?
During your stay at a VA medical facility, were the rooms clean?
Never
Sometimes
Usually
Always
20
. During your stay at a VA medical facility, were the hallways quiet around your room?
During your stay at a VA medical facility, were the hallways quiet around your room?
Never
Sometimes
Usually
Always
21
. During your stay at a VA medical facility, did the rooms have privacy?
During your stay at a VA medical facility, did the rooms have privacy?
Never
Sometimes
Usually
Always
22
. What is your average wait time for a primary care appointment when visiting a VA medical facility?
What is your average wait time for a primary care appointment when visiting a VA medical facility?
0-15 minutes
15-30 minutes
30-45 minutes
45-60 minutes
Over 60 minutes
23
. What is your average wait time for a specialty care appointment when visiting a VA medical facility?
What is your average wait time for a specialty care appointment when visiting a VA medical facility?
0-15 minutes
15-30 minutes
30-45 minutes
45-60 minutes
Over 60 minutes
24
. What is your average wait time at a pharmacy when visiting a VA medical facility?
What is your average wait time at a pharmacy when visiting a VA medical facility?
0-15 minutes
15-30 minutes
30-45 minutes
45-60 minutes
Over 60 minutes
25
. What is your average wait time for beneficiary travel reimbursement when visiting a VA medical facility?
What is your average wait time for beneficiary travel reimbursement when visiting a VA medical facility?
0-15 minutes
15-30 minutes
30-45 minutes
45-60 minutes
Over 60 minutes
26
. When receiving beneficiary travel reimbursement, what is the payment type?
When receiving beneficiary travel reimbursement, what is the payment type?
Cash
Checks
Direct Deposit
27
. When receiving beneficiary travel reimbursement, what is the average lag time for receiving reimbursement?
When receiving beneficiary travel reimbursement, what is the average lag time for receiving reimbursement?
1-2 weeks
2-3 weeks
3-4 weeks
4 or more weeks
28
. What rating would you give your VA medical center?
What rating would you give your VA medical center?
A
B
C
D
F
29
. How would you describe your experience with VA health care?
How would you describe your experience with VA health care?
Poor
Average
Good
Excellent
30
. How satisfied are you with VA health care?
How satisfied are you with VA health care?
Unsatisfied
Satisfied
Very Satisfied
31
. Have you ever been mistreated while receiving VA health care?
Have you ever been mistreated while receiving VA health care?
Yes ( please explain below)
No
32
. If so, have you ever filed a complaint?
If so, have you ever filed a complaint?
Yes
No
33
. Did the facility follow up?
Did the facility follow up?
Yes
No
34
. Satisfied with the outcome?
Satisfied with the outcome?
Yes
No (please explain below)
Other (please specify)
35
. Any additional comments?
Any additional comments?
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