Patient Satisfaction Web Survey - Immunization

This brief patient satisfaction survey is for persons who received services in any of The City of New York Immunization Clinics. The New York City Department of Health and Mental Hygiene wants to know how well they are satisfying their patients and where they should make improvements. Your honest feedback is very important.

Please be assured that your individual responses to the survey will be confidential and will only be shared with the New York City Department of Health and Mental Hygiene for the purposes of improving the quality of patient care and not for sales, marketing or fund raising. The goal of this survey is to improve services for patients.

As we go though the survey, please rate your experiences in this clinic only during your most recent visit, even if you had other services. Lets begin.

* What is the date of your most recent clinic visit?


* What is your age range?

* What is your gender?

* Which clinic location did you visit on your most recent visit?