Help us make your experience at ANHC great -- let us know how we are doing

Question Title

* 1. Date (Of visit or appointment) at ANHC:

Date

Question Title

* 2. Name(s) of staff who worked with you:

Question Title

* 4. Please rate the statements about your recent visit to ANHC:
It was easy for me to make an appointment at ANHC.

Question Title

* 5. Please rate the statements about your recent visit to ANHC:
ANHC staff answered all of my questions in a timely fashion.

Question Title

* 6. Please rate the statements about your recent visit to ANHC:
I understood the way my provider explained things to me.

Question Title

* 7. Please rate the statements about your recent visit to ANHC:
I felt like my provider spent enough time with me.

Question Title

* 8. Please rate the statements about your recent visit to ANHC:
ANHC staff were helpful and treated me with respect.

Question Title

* 9. Please rate the statements about your recent visit to ANHC:
ANHC staff gave me excellent customer service.

Question Title

* 10. Rate how your felt about your overall experience during this visit (5=Best, 1=Worst).

Question Title

* 11. Please leave any comments below

Question Title

* 12. May we contact you?

T