Client Satisfaction Survey Question Title * 1. What services did you receive today? Behavioral Health Benefits Coordination Central Intake Center Community Health Dental Diabetes Prevention Health Information Management Imaging Lab Nutrition - Community Health Optometry/Eye Clinic Patient Registration Pediatrics Pharmacy Physical Therapy Podiatry Primary Care Purchased Referred Care Scheduling Transportation - Community Health Walk-In Wellness Center WIC Other (please specify) Question Title * 2. What Provider(s) or Staff did you see today? Ally Hunt Amaryllis Te Angela Curtis Bethany Reardon Bethany Reed, NP Carol Colmenero Christina Interpreter, FNP Christine Pacheco Courtni Tran Dominic DiLoreto Dr. Angeles Dr. Beiter Dr. Boyle Dr. DeMotto Dr. Duffy Dr. Glaze Dr. Haines Dr. Helmuth Dr. Huang Dr. James Dr. Jensen Dr. Johnson Dr. Jones Dr. Jordan Dr. Kelly Dr. Kevin Williams Dr. Kuhn Dr. Lessina Williams Dr. Lomay Dr. Memaran Dr. Meyer Dr. Murphy Dr. Novikova Dr. Okoroh Dr. Palacios Dr. Rogowski Dr. Shukla Dr. Smith Dr. Sterk Dr. Todd Dr. Trottier Dr. Truesdell Emily Pierce Erin Wilkinson Gem Bartsch, FNP Gina Stotelmyre Gregory Sanders Heather Christian Heather Drake Jaclyn Young Jeffrey Laderach, FNP Jessica Hunter Kassidy Dickson Kellie Wagner Kelsey Kuchynka Kurt Holiday LeRayne Begay Lisa Kaufman Lynn Reillybuckvicz Mario Torres Mayra Ornelas Salais Micki Begay Natasha Peacock Nicolette Parrish Priscilla Wilson, FNP Renee Scolaro Roberta Ward, DNP, CNM Ryan Williams, PMHNP-BC Steve Bolay Tamara Austin Tashawna Tsosie Ty'Lesha Yellowhair Vesna Matic Vincent Piano Other (please specify) Question Title * 3. An appointment was available when I needed it. 1 - 1 Least Satisfied 2 - 2 3 -3 4 - 4 5 - 5 6 - 6 7 - 7 8 - 8 9 - 9 10 - 10 Most Satisfied 1 - 1 Least Satisfied 2 - 2 3 -3 4 - 4 5 - 5 6 - 6 7 - 7 8 - 8 9 - 9 10 - 10 Most Satisfied Comments Question Title * 4. The provider(s)/staff listened carefully to me and involved me in the decisions about my care. 1 - 1 Least Satisfied 2 - 2 3 - 3 4 - 4 5 - 5 6 - 6 7 - 7 8 - 8 9 - 9 10 - 10 Most Satisfied 1 - 1 Least Satisfied 2 - 2 3 - 3 4 - 4 5 - 5 6 - 6 7 - 7 8 - 8 9 - 9 10 - 10 Most Satisfied Comments Question Title * 5. I would recommend your services to my friends and family. 1- 1 Least Likely 2- 2 3-3 4- 4 5- 5 6- 6 7- 7 8- 8 9- 9 10- 10 Most Likely 1- 1 Least Likely 2- 2 3-3 4- 4 5- 5 6- 6 7- 7 8- 8 9- 9 10- 10 Most Likely Comments Question Title * 6. My culture, spiritual practices, and traditions were respected. 1 -1 Least Satisfied 2- 2 3- 3 4- 4 5- 5 6- 6 7- 7 8- 8 9- 9 10- 10 Most Satisfied 1 -1 Least Satisfied 2- 2 3- 3 4- 4 5- 5 6- 6 7- 7 8- 8 9- 9 10- 10 Most Satisfied Comments Question Title * 7. Is there anyone that you would like to recognize today? Question Title * 8. Is there anything we could have done to improve our service to you today? Question Title * 9. How was this survey completed? Online Phone Call Paper Done
