FY 2024 Access Carroll Patient Satisfaction Survey

Upon each visit, we would like to know how you feel about the services we provide so we can make sure your needs are met. Your responses are directly responsible for our performance improvement, and will be confidential and anonymous (unless you request to be contacted). Thank you for your time and assistance. Your opinion matters!

	Great	Good	OK	Fair	Poor	N/A
Ease and convenience of scheduling an appointment	Ease and convenience of scheduling an appointment Great	Ease and convenience of scheduling an appointment Good	Ease and convenience of scheduling an appointment OK	Ease and convenience of scheduling an appointment Fair	Ease and convenience of scheduling an appointment Poor	Ease and convenience of scheduling an appointment N/A
Office hours	Office hours Great	Office hours Good	Office hours OK	Office hours Fair	Office hours Poor	Office hours N/A
Courtesy and friendliness of the office staff	Courtesy and friendliness of the office staff Great	Courtesy and friendliness of the office staff Good	Courtesy and friendliness of the office staff OK	Courtesy and friendliness of the office staff Fair	Courtesy and friendliness of the office staff Poor	Courtesy and friendliness of the office staff N/A
Quality of care given by your Health Care Provider(s)	Quality of care given by your Health Care Provider(s) Great	Quality of care given by your Health Care Provider(s) Good	Quality of care given by your Health Care Provider(s) OK	Quality of care given by your Health Care Provider(s) Fair	Quality of care given by your Health Care Provider(s) Poor	Quality of care given by your Health Care Provider(s) N/A
Cleanliness and tidiness of the facility	Cleanliness and tidiness of the facility Great	Cleanliness and tidiness of the facility Good	Cleanliness and tidiness of the facility OK	Cleanliness and tidiness of the facility Fair	Cleanliness and tidiness of the facility Poor	Cleanliness and tidiness of the facility N/A
Privacy and Confidentiality	Privacy and Confidentiality Great	Privacy and Confidentiality Good	Privacy and Confidentiality OK	Privacy and Confidentiality Fair	Privacy and Confidentiality Poor	Privacy and Confidentiality N/A

Great

Good

Fair

Poor

N/A

Ease and convenience of scheduling an appointment

Ease and convenience of scheduling an appointment Great

Ease and convenience of scheduling an appointment Good

Ease and convenience of scheduling an appointment OK

Ease and convenience of scheduling an appointment Fair

Ease and convenience of scheduling an appointment Poor

Ease and convenience of scheduling an appointment N/A

Office hours

Office hours Great

Office hours Good

Office hours OK

Office hours Fair

Office hours Poor

Office hours N/A

Courtesy and friendliness of the office staff

Courtesy and friendliness of the office staff Great

Courtesy and friendliness of the office staff Good

Courtesy and friendliness of the office staff OK

Courtesy and friendliness of the office staff Fair

Courtesy and friendliness of the office staff Poor

Courtesy and friendliness of the office staff N/A

Quality of care given by your Health Care Provider(s)

Quality of care given by your Health Care Provider(s) Great

Quality of care given by your Health Care Provider(s) Good

Quality of care given by your Health Care Provider(s) OK

Quality of care given by your Health Care Provider(s) Fair

Quality of care given by your Health Care Provider(s) Poor

Quality of care given by your Health Care Provider(s) N/A

Cleanliness and tidiness of the facility

Cleanliness and tidiness of the facility Great

Cleanliness and tidiness of the facility Good

Cleanliness and tidiness of the facility OK

Cleanliness and tidiness of the facility Fair

Cleanliness and tidiness of the facility Poor

Cleanliness and tidiness of the facility N/A

Privacy and Confidentiality

Privacy and Confidentiality Great

Privacy and Confidentiality Good

Privacy and Confidentiality OK

Privacy and Confidentiality Fair

Privacy and Confidentiality Poor

Privacy and Confidentiality N/A

	Always	Usually	Sometimes	Never	N/A
Access Carroll helped reduce my need to go to the local Emergency Department	Access Carroll helped reduce my need to go to the local Emergency Department Always	Access Carroll helped reduce my need to go to the local Emergency Department Usually	Access Carroll helped reduce my need to go to the local Emergency Department Sometimes	Access Carroll helped reduce my need to go to the local Emergency Department Never	Access Carroll helped reduce my need to go to the local Emergency Department N/A
Access Carroll has helped me be more consistent with my medications, check ups and overall health care	Access Carroll has helped me be more consistent with my medications, check ups and overall health care Always	Access Carroll has helped me be more consistent with my medications, check ups and overall health care Usually	Access Carroll has helped me be more consistent with my medications, check ups and overall health care Sometimes	Access Carroll has helped me be more consistent with my medications, check ups and overall health care Never	Access Carroll has helped me be more consistent with my medications, check ups and overall health care N/A
Access Carroll has helped me obtain health care services that I could not have obtained on my own	Access Carroll has helped me obtain health care services that I could not have obtained on my own Always	Access Carroll has helped me obtain health care services that I could not have obtained on my own Usually	Access Carroll has helped me obtain health care services that I could not have obtained on my own Sometimes	Access Carroll has helped me obtain health care services that I could not have obtained on my own Never	Access Carroll has helped me obtain health care services that I could not have obtained on my own N/A
I Have Transportation Needs/Problems	I Have Transportation Needs/Problems Always	I Have Transportation Needs/Problems Usually	I Have Transportation Needs/Problems Sometimes	I Have Transportation Needs/Problems Never	I Have Transportation Needs/Problems N/A
I Can Find Parking Availability	I Can Find Parking Availability Always	I Can Find Parking Availability Usually	I Can Find Parking Availability Sometimes	I Can Find Parking Availability Never	I Can Find Parking Availability N/A

Always

Usually

Sometimes

Never

N/A

Access Carroll helped reduce my need to go to the local Emergency Department

Access Carroll helped reduce my need to go to the local Emergency Department Always

Access Carroll helped reduce my need to go to the local Emergency Department Usually

Access Carroll helped reduce my need to go to the local Emergency Department Sometimes

Access Carroll helped reduce my need to go to the local Emergency Department Never

Access Carroll helped reduce my need to go to the local Emergency Department N/A

Access Carroll has helped me be more consistent with my medications, check ups and overall health care

Access Carroll has helped me be more consistent with my medications, check ups and overall health care Always

Access Carroll has helped me be more consistent with my medications, check ups and overall health care Usually

Access Carroll has helped me be more consistent with my medications, check ups and overall health care Sometimes

Access Carroll has helped me be more consistent with my medications, check ups and overall health care Never

Access Carroll has helped me be more consistent with my medications, check ups and overall health care N/A

Access Carroll has helped me obtain health care services that I could not have obtained on my own

Access Carroll has helped me obtain health care services that I could not have obtained on my own Always

Access Carroll has helped me obtain health care services that I could not have obtained on my own Usually

Access Carroll has helped me obtain health care services that I could not have obtained on my own Sometimes

Access Carroll has helped me obtain health care services that I could not have obtained on my own Never

Access Carroll has helped me obtain health care services that I could not have obtained on my own N/A

I Have Transportation Needs/Problems

I Have Transportation Needs/Problems Always

I Have Transportation Needs/Problems Usually

I Have Transportation Needs/Problems Sometimes

I Have Transportation Needs/Problems Never

I Have Transportation Needs/Problems N/A

I Can Find Parking Availability

I Can Find Parking Availability Always

I Can Find Parking Availability Usually

I Can Find Parking Availability Sometimes

I Can Find Parking Availability Never

I Can Find Parking Availability N/A

FY 2024 Access Carroll Patient Satisfaction Survey

Question Title

* 1. Your Age Range:

Question Title

* 2. Your Gender:

Question Title

* 3. Your Primary Language:

Question Title

* 4. Access Carroll is Your Primary Souce of Care For:

Question Title

* 5. Services You've Received at Access Carroll:

Question Title

* 6. Please Rate The Services You Received at Access Carroll

Question Title

* 7. Please Rate Your Basic Access to Care

Question Title

* 8. What suggestions, if any, do you have on improving services at Access Carroll?

Question Title

* 9. Additional comments.

Question Title

* 10. Would you like to be contacted regarding your most recent visit?

Question Title

* 11. Please provide us your contact information, if applicable. Note: providing your name will result in your survey no longer being anonymous.