1. Event Survey

50% of survey complete.

We want to continue to improve our services to the community and in order to do so, we need your help. We are asking for your feedback on your recent screening experience. We appreciate your participation and thank you for allowing us to serve you.

Please select the option that best reflects your situation.

1. Please enter the date of your screening.

2. Please enter the city where you received your screening.

3. How did you hear about the screening program?

4. Did you find it easy to get a screening appointment through TeleCare?

5. Was the information received from the health screening valuable to you?

6. What did the screening staff tell you about your level of risk for heart and vascular disease?

7. Were you referred to a physician for follow-up?

8. If you were referred to a physician, who did you see?

9. Were you able to get an appointment quickly?

10. How Long did you have to wait?

11. Did you receive a medical procedure (e.g., ultrasound, stent, angioplasty) because of the screening program or physician visit?

12. Overall, how satisfied were you with your experience?

13. How likely would you be to refer a friend to Trinity Mother Frances for health care services?

14. Would you like to share anything else with us?