KCHC Patient Satisfaction Survey

1.In your recent experience(s), please rate your ability to be seen for an appointment as soon as you needed it.

2.In your recent experience(s), please rate how well your healthcare provider explained your care. Were they easy to understand?

3.In your recent experience(s), when a KCHC provider ordered a blood test, x-ray, or other test for you, how satisfied are you with the timeliness/communication about your results?

4.Please rate KCHC staff on assistance with any problems/barriers you have to getting the healthcare you need. (For example: Transportation or language)

5.Please rate your most recent experience with our Front Desk Staff.

6.Please rate your most recent billing experience.

7.Do you or your family qualify for our sliding fee scale?

Yes

No

Declined to try

Don't Know

8.Please rate your most recent experience with the person who assisted your KCHC provider. (For example: Registered Nurse, Medical Assistant, Licensed Practical Nurse)

9.Please rate your most recent experience with your KCHC provider. (For Example: Doctor, Physicians Assistant, Nurse Practitioner, Dietitian, or Social Worker)

10.Who was your KCHC provider for your most recent visit?

11.Did your medical provider/team consider insurance/barrier of cost to prescribing medication?

Yes

No

N/A

Don't Know

12.If your visit was virtual/ telehealth, please rate your experience with the technology and ease of acess:

13.Is there anything else you would like us to know?

14.Are there any KCHC staff members you'd like to honor, recognize, or thank on your behalf?

15.May we contact you regarding any of your answers or comments above?

Yes

No

16.If yes, please provide some contact information below.

Name

Email Address

Phone Number

Thank you for completing our survey! If you would like to share your experience publicly to help others find quality care, please consider leaving us a Google review.
Kodiak Community Health Center Google Review

KCHC Patient Satisfaction Survey

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