Good Samaritan Health Centers, Inc. Wildflower Clinic

* 1. Your information (this is optional)

* 4. Overall, how satisfied or dissatisfied were you with your last visit to our clinic?

* 5. About how long did you have to wait to be seen by the provider?

* 6. Please rate the quality of care from each person you interacted with during your last visit.

  Excellent Very Good Good Fair Poor N/A
Front Desk/Receptionist
Dental Assistant
Medical Coordinator
Dental Coordinator

* 7. How well did you feel the staff listened to your needs & answered any questions you may have had?

* 8. Did you feel your treatment options & follow-up care were explained to you thoroughly?

* 9. How likely are you to recommend our clinic to others?

* 10. Please give us any additional feedback about your experience.