March 2026 Patient Satisfaction Survey

We would like to know how you feel about the services and care you receive at Grace Medical Home. This information will be used to improve our services. This survey is optional, and your answers will be kept confidential.

1.If Grace Medical Home was not an option, where would you most likely go for healthcare? (check one box)

Health Clinic (like TrueHealth, Community Health Centers, Orange Blossom Family Health, etc.)

Doctor’s Office

Urgent Care Clinic (Centra Care or Minute Clinic)

Emergency Room

Would not get care

If emergency room, which one?

2.If Grace Medical Home was not an option, where would you most likely get your medications?

Buy at Publix, Walmart, Target.

Buy at a drug store like CVS, Walgreens, etc.

Get through mail order service.

Try to get it from the drug manufacturer or other assistance program.

I would go without medications.

3.If Grace Medical Home was not an option, where would you most likely go for dental care?

Dental Clinic (like TrueHealth, Community Health Centers, Orange Blossom Family Health, etc.)

Dentist’s Office

Emergency Room

Would not get care

If emergency room, which one?

4.We have heard that some patients are scared due to Immigration/ICE activities, and we are trying to understand the ways it impacts patients. Please check all of the statements that describe how you feel:

I sometimes decide not to go places because I worry about traffic stops.

Nearly every day, I think about how this may affect me/my family.

I sometimes worry about what will happen to my neighbors and coworkers.

I hesitate to come to in-person appointments at Grace (I may come for some but cancel others).

I sometimes choose to miss work because I worry about ICE raids.

I would probably not call the fire department or police if there was a problem.

I won’t go to the emergency room/hospital unless it was a dire emergency.

I am not at all worried by or impacted by Immigration/ICE activities.

Other, please tell us other impacts on you or your family:

5.Have you had an appointment with a Grace provider using the telehealth video call system or phone?

No, I have not had a telehealth/phone visit or I can’t remember.

Yes, I have had an appointment using the telehealth system or phone.