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Patient Satisfaction
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1.
What kind of care did you receive today?
(Required.)
Medical
Dental
Behavioral
Chiropractic
Vision
Pharmacy
Other (please specify)
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2.
Did you receive an appointment for routine care as soon as needed? (Example: Annual Exam, Medication Review, Etc.)
(Required.)
Yes
No
Somewhat
Does Not Apply
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3.
How long was your wait to be registered today?
(Required.)
0 - 5 Minutes
5 - 10 Minutes
10 - 15 Minutes
15 - 20 Minutes
20+ Minutes
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4.
Did your care team introduce themselves to you?
(Required.)
Yes
No
Does Not Apply
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5.
Did your Family HealthCare provider seem informed about your care from other providers?
(Required.)
Yes
No
Does Not Apply
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6.
Have you and your provider talked about all the prescription medications you are taking?
(Required.)
Yes
No
Does Not Apply
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7.
Did you receive an appointment with a specialist as soon as needed?
(Required.)
Yes
No
Somewhat
Does Not Apply
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8.
Family HealthCare's Access Plan (Sliding Fee Scale) co-pays are reasonable
(Required.)
Yes
No
Does Not Apply
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9.
How did you hear about Family HealthCare?
(Required.)
Word of mouth
Referral from another health facility
Social Media
Advertisement
Other (please specify)
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10.
Would you recommend Family HealthCare to your family and friends?
(Required.)
Yes
No
Somewhat (please specify)
11.
Comments on any aspect of your experience with Family HealthCare: (Optional)
Current Progress,
0 of 11 answered
