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Patient/Client Experience Survey

Thank you for taking our survey. Your feedback helps us improve our services and provide better care.

If you would like to speak with a Patient Advocate about your experience, please contact us at 480-362-3470 or HHS-RiskManagement@srpmic-nsn.gov

We appreciate your input—your voice shapes the care we provide.
1.What services did you receive today?(Required.)
2.What Provider(s) or Staff did you see today?
3.An appointment was available when I needed it.
1 - Least Satisfied
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3
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5
6
7
8
9
10 - Most Satisfied
4.The provider(s)/staff listened carefully to me and involved me in the decisions about my care.
1 - Least Satisfied
2
3
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5
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8
9
10 - Most Satisfied
5.I would recommend your services to my friends and family.
1 - Least Likely
2
3
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5
6
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9
10 - Most Likely
6.My culture, spiritual practices, and traditions were respected.
1 - Least Satisfied
2
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9
10 - Most Satisfied
7.Is there anyone that you would like to recognize today?
8.Is there anything we could have done to improve our service to you today?
9.How was this survey completed?(Required.)
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