100% of survey complete.

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* 1. Which site did you visit today?

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* 2. Ability to obtain an appointment soon enough to meet your medical needs

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* 3. Courteous and professional treatment by Front Desk Staff

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* 4. Time waiting in the office to see your Doctor

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* 5. Courteous and professional treatment by Provider

  Provider Rating
Provider

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* 6. Courteous and professional treatment by Nurse

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* 7. Rate your understanding of your diagnosis and treatment instructions provided by your care team

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* 8. Availability of patient education information, such as Medication, Adherence, Prevention, etc.

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* 9. The cleanliness of our facility

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* 10. Overall satisfaction with care provided

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* 11. How affordable were the medical services your received?

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* 12. How did you hear about CAHN?

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* 13. Type of Appointment?

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* 14. Are you male or female?

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* 15. What mode of transportation did you use?

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* 16. Are you aware of available transportation options?

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* 17. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 18. What is your ethnicity? (Please select all that apply.)

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* 19. In the last 12 months, did you phone your healthcare provider’s office with a medical question after regular office hours?

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* 20. In the last 12 months, when you phoned your healthcare provider’s office after regular office hours, how often did you get an answer to your medical question as soon as you needed?

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* 21. In the last 12 months, were you able to obtain a same-day appointment when needed for urgent care?

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* 22. Preferred Hours of Operations:

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* 23. How likely is it that you would recommend CAHN to a friend or colleague?

Not at all likely
Extremely likely

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* 24. Do you have any other comments, questions, or concerns?

T