CrescentCare Patient and Client Satisfaction Survey

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* 1. Please list your current zip code

ZIP/Postal Code

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* 2. At which site are you currently receiving services?

CrescentCare MidCity (3308 Tulane Ave)

CrescentCare St. Roch (1631 Elysian Fields Ave)

Exchange Support Services (104 Exchange Alley, Houma)

Legal Services Baton Rouge

Telehealth or Other Remote Visit (Phone Only or Phone and Video)

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* 3. How many visits have you completed at CrescentCare in the last 12 months?

1 - 2

3 - 4

5 - 6

7 or more

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* 4. How satisfied have you been with your overall experience at CrescentCare

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 5. Please rate your satisfaction with the following:

	Very Satisfied	Satisfied	Neither satisfied nor dissatisfied	Dissatisfied	Very Dissatisfied	N/A
Wait time	Wait time Very Satisfied	Wait time Satisfied	Wait time Neither satisfied nor dissatisfied	Wait time Dissatisfied	Wait time Very Dissatisfied	Wait time N/A
Friendly and helpful staff	Friendly and helpful staff Very Satisfied	Friendly and helpful staff Satisfied	Friendly and helpful staff Neither satisfied nor dissatisfied	Friendly and helpful staff Dissatisfied	Friendly and helpful staff Very Dissatisfied	Friendly and helpful staff N/A
Time spent with my provider	Time spent with my provider Very Satisfied	Time spent with my provider Satisfied	Time spent with my provider Neither satisfied nor dissatisfied	Time spent with my provider Dissatisfied	Time spent with my provider Very Dissatisfied	Time spent with my provider N/A
Helpful information received	Helpful information received Very Satisfied	Helpful information received Satisfied	Helpful information received Neither satisfied nor dissatisfied	Helpful information received Dissatisfied	Helpful information received Very Dissatisfied	Helpful information received N/A
Responsiveness to my needs	Responsiveness to my needs Very Satisfied	Responsiveness to my needs Satisfied	Responsiveness to my needs Neither satisfied nor dissatisfied	Responsiveness to my needs Dissatisfied	Responsiveness to my needs Very Dissatisfied	Responsiveness to my needs N/A
Respectful of Gender Identity	Respectful of Gender Identity Very Satisfied	Respectful of Gender Identity Satisfied	Respectful of Gender Identity Neither satisfied nor dissatisfied	Respectful of Gender Identity Dissatisfied	Respectful of Gender Identity Very Dissatisfied	Respectful of Gender Identity N/A
Respectful of Race and Ethnicity	Respectful of Race and Ethnicity Very Satisfied	Respectful of Race and Ethnicity Satisfied	Respectful of Race and Ethnicity Neither satisfied nor dissatisfied	Respectful of Race and Ethnicity Dissatisfied	Respectful of Race and Ethnicity Very Dissatisfied	Respectful of Race and Ethnicity N/A
Respectful of my language differences	Respectful of my language differences Very Satisfied	Respectful of my language differences Satisfied	Respectful of my language differences Neither satisfied nor dissatisfied	Respectful of my language differences Dissatisfied	Respectful of my language differences Very Dissatisfied	Respectful of my language differences N/A
Ease of contacting my care team by telephone	Ease of contacting my care team by telephone Very Satisfied	Ease of contacting my care team by telephone Satisfied	Ease of contacting my care team by telephone Neither satisfied nor dissatisfied	Ease of contacting my care team by telephone Dissatisfied	Ease of contacting my care team by telephone Very Dissatisfied	Ease of contacting my care team by telephone N/A
Ease of contacting my care team by patient portal	Ease of contacting my care team by patient portal Very Satisfied	Ease of contacting my care team by patient portal Satisfied	Ease of contacting my care team by patient portal Neither satisfied nor dissatisfied	Ease of contacting my care team by patient portal Dissatisfied	Ease of contacting my care team by patient portal Very Dissatisfied	Ease of contacting my care team by patient portal N/A

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* 6. How do you rate the quality of service from our administrative staff?

	Very Satisfied	Satisfied	Neither satisfied nor dissatisfied	Dissatisfied	Very Dissatisfied	N/A
Front Desk/Check-in Staff	Front Desk/Check-in Staff Very Satisfied	Front Desk/Check-in Staff Satisfied	Front Desk/Check-in Staff Neither satisfied nor dissatisfied	Front Desk/Check-in Staff Dissatisfied	Front Desk/Check-in Staff Very Dissatisfied	Front Desk/Check-in Staff N/A
Registration Staff/Intake Staff	Registration Staff/Intake Staff Very Satisfied	Registration Staff/Intake Staff Satisfied	Registration Staff/Intake Staff Neither satisfied nor dissatisfied	Registration Staff/Intake Staff Dissatisfied	Registration Staff/Intake Staff Very Dissatisfied	Registration Staff/Intake Staff N/A
Call Center Staff	Call Center Staff Very Satisfied	Call Center Staff Satisfied	Call Center Staff Neither satisfied nor dissatisfied	Call Center Staff Dissatisfied	Call Center Staff Very Dissatisfied	Call Center Staff N/A
Billing Staff	Billing Staff Very Satisfied	Billing Staff Satisfied	Billing Staff Neither satisfied nor dissatisfied	Billing Staff Dissatisfied	Billing Staff Very Dissatisfied	Billing Staff N/A

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* 7. How do you rate the quality of service from our health care staff

	Very Satisfied	Satisfied	Neither satisfied nor dissatisfied	Dissatisfied	Very Dissatisfied	N/A
Medical Provider	Medical Provider Very Satisfied	Medical Provider Satisfied	Medical Provider Neither satisfied nor dissatisfied	Medical Provider Dissatisfied	Medical Provider Very Dissatisfied	Medical Provider N/A
Nurse	Nurse Very Satisfied	Nurse Satisfied	Nurse Neither satisfied nor dissatisfied	Nurse Dissatisfied	Nurse Very Dissatisfied	Nurse N/A
Case Manager	Case Manager Very Satisfied	Case Manager Satisfied	Case Manager Neither satisfied nor dissatisfied	Case Manager Dissatisfied	Case Manager Very Dissatisfied	Case Manager N/A
Behavioral Health Therapist	Behavioral Health Therapist Very Satisfied	Behavioral Health Therapist Satisfied	Behavioral Health Therapist Neither satisfied nor dissatisfied	Behavioral Health Therapist Dissatisfied	Behavioral Health Therapist Very Dissatisfied	Behavioral Health Therapist N/A
Psychiatrist	Psychiatrist Very Satisfied	Psychiatrist Satisfied	Psychiatrist Neither satisfied nor dissatisfied	Psychiatrist Dissatisfied	Psychiatrist Very Dissatisfied	Psychiatrist N/A
PSH Provider	PSH Provider Very Satisfied	PSH Provider Satisfied	PSH Provider Neither satisfied nor dissatisfied	PSH Provider Dissatisfied	PSH Provider Very Dissatisfied	PSH Provider N/A
Dental Provider	Dental Provider Very Satisfied	Dental Provider Satisfied	Dental Provider Neither satisfied nor dissatisfied	Dental Provider Dissatisfied	Dental Provider Very Dissatisfied	Dental Provider N/A
Health Educator	Health Educator Very Satisfied	Health Educator Satisfied	Health Educator Neither satisfied nor dissatisfied	Health Educator Dissatisfied	Health Educator Very Dissatisfied	Health Educator N/A
Lab Staff	Lab Staff Very Satisfied	Lab Staff Satisfied	Lab Staff Neither satisfied nor dissatisfied	Lab Staff Dissatisfied	Lab Staff Very Dissatisfied	Lab Staff N/A
Nutritionist	Nutritionist Very Satisfied	Nutritionist Satisfied	Nutritionist Neither satisfied nor dissatisfied	Nutritionist Dissatisfied	Nutritionist Very Dissatisfied	Nutritionist N/A
Legal Services Provider	Legal Services Provider Very Satisfied	Legal Services Provider Satisfied	Legal Services Provider Neither satisfied nor dissatisfied	Legal Services Provider Dissatisfied	Legal Services Provider Very Dissatisfied	Legal Services Provider N/A

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* 8. In the last 6 months, when you contacted CrescentCare to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?

Always

Usually

Sometimes

Rarely

Never

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* 9. In the last 6 months, did your provider ask you to see a specialist (someone who specializes in one area of health care such as a heart doctor) for a health problem?

Yes, and I was able to see the specialist

Yes, but I did not see the specialist

Yes, and I am scheduled to see the specialist

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* 10. Have you ever declined or deferred treatment at CrescentCare because you could not afford it?

Yes

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* 11. In the last 6 months, have you accessed your Patient Portal using a computer or the Healow app on a tablet or smartphone?

Yes