GHAC Client Experience Survey

Please read the following statements carefully. Check the answer that seems the best to you. If a question does not apply to you, check N/A. Please base the answers on all of the visits and contacts you have had.

All information provided is voluntary and will remain confidential. The information collected allows us to better meet your needs as an organization and may be used to support research reports and funding proposals. Information provided WILL NOT be linked to your name, or any other identifying information.

* 1. Access to Treatment

  Same Day Next Day 2-19 Days 20 Days or More N/A
The last time you were sick, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW them?

* 2. Overview of Client/Provider Experience

  Always Often Sometimes Rarely Never N/A
When you see your doctor or nurse practitioner, how often do they give you the opportunity to ask questions about recommended treatment?
When you see your doctor or nurse practitioner, do they involve you as much as you would like about your care and treatment?
When you see your doctor or nurse practitioner, do they spend enough time with you in the office?

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