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Circle Care Center - Patient Survey 2025
1.
Are you currently a patient at Circle Care Center?
Yes, I am currently a patient.
No, I am a former patient.
No, I have never been a patient.
2.
When was your last appointment?
2024 - 2025
2023 - 2024
2022 - 2023
2021 - 2022
Prior to 2021
3.
What is your current age?
18-29
30-39
40-49
50-59
60-69
70-79
80-89
90 or older
4.
Do you identify with any of the following statements?
(Choose all that apply)
I am a lesbian
I am gay
I am bisexual
I am trans
I am non binary
I identify as queer/LGBTQIA+
I do not identify as queer/LGBTQIA+
I am a person of color
English is not my primary language
Other (please specify)
5.
Which of our providers have you seen the most in the past 12 months?
Dr. David S. Rubin, MD (Norwalk Medical)
Dr. Trish Garton, DNP (Norwalk Medical)
Dr. Ken Abriola, MD (Glastonbury Medical)
Al Zucchetto, APRN (Glastonbury Medical)
Ed Moran, LCSW (Norwalk Behavioral Health)
Corey Hudson, LMSW (Behavioral Health)
Other (please specify)
6.
Have you received sexual health services at Circle Care Center in the past 12 months (STI testing or treatment)?
Yes
No
7.
What do you like most about Circle Care Center as a medical practice?
8.
What do you feel can be improved?
9.
Do you feel that CCC is an affirming practice for all people?
10.
Please respond to the following statements by ranking how much you agree with them.
5 = strongly agree, 1 = strongly disagree.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
The medical services I receive at Circle Care Center are high quality.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
It is easy to schedule appointments at Circle Care Center.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
The front desk staff are always precise and efficient in communication.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
My appointments are always on time.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
The medical staff provide excellent care and always answer my questions.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
The providers make me feel comfortable and affirmed.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
My billing is always accurate and clearly communicated.
5 - Strongly Agree
4
3 - Neutral
2
1 - Strongly Disagree
11.
What would be most convenient for you if Circle Care Center added additional hours to its schedule?
Weekday evening hours from 5 PM - 7 PM (Currently only available on Mondays)
Weekday morning hours from 7 AM - 9 AM (Currently not available)
Weekend hours on Saturdays from 9 AM - 1 PM (Currently not available)
Other (please specify)
12.
Do you use Circle Care Center Pharmacy?
Yes
No
13.
If you have used Circle Care Center Pharmacy, how would you rate their services?
(5 = very satisfied, 1 = not satisfied)
5 - Very Satisfied
4
3
2
1 - Not Satisfied
5 - Very Satisfied
4
3
2
1 - Not Satisfied
14.
Are you aware that a portion of the practice revenue at CCC supports local LGBTQ+ community services and services for people living with HIV?
Yes
No
15.
Is that important to you?
Yes
No
16.
Which of the below social media channels do you use regularly?
Facebook
Instagram
X
LinkedIn
Snapchat
TikTok
Other (please specify)
17.
Have you visited our website? www.circlecarecenter.org
Yes
No
18.
Do you use our patient portal?
Yes
No
19.
How did you first discover/hear about Circle Care Center?
Word of mouth (referred by a friend or family member)
Google
Social Media
Circle Care Center was tabling at an event you attended
Through a community partner like TCC or MFAP
Online Advertising
Ad on dating site or app
Flyers at a LGBTQ+ establishment
Other (please specify)
20.
What local community events do you attend?
TCC's Pride in the Park
Bethel Pride
Fairfield Pride
Bridgeport Pride
Parties at Troupe429
Parties at Trevi Lounge
OUT Professionals
New Haven Pride Center Events
Triangle Community Center Events
Glastonbury Pride
Middletown Pride
Other (please specify)
21.
Would you refer CCC to a friend or family member?
Yes
No
22.
If you answered "no" to the question above, please tell us why?
23.
Is there any additional feedback you want to share with Circle Care Center?
Current Progress,
0 of 23 answered
