Patient Experience Survey 2021

At Callen-Lorde, we use feedback from our patients to make our care better. We want to know your thoughts on how we are doing and what we can improve!

Please only respond to this survey if you are currently a patient at Callen-Lorde

Question Title

* 1. How would you rate us in these areas?


Medical Providers	Medical Providers menu
Front Desk	Front Desk menu
Call Center	Call Center menu
Nursing	Nursing menu
Lab Services	Lab Services menu
Dental	Dental menu
Triage Nurse	Triage Nurse menu
Chelsea Pharmacy	Chelsea Pharmacy menu
Bronx Pharmacy	Bronx Pharmacy menu
Brooklyn Pharmacy	Brooklyn Pharmacy menu
Psychiatry	Psychiatry menu
Psychotherapy (weekly talk therapy)	Psychotherapy (weekly talk therapy) menu

Question Title

* 2. Which Callen-Lorde location do you go to most?

Chelsea

Bronx

Brooklyn

Question Title

* 3. How old are you?

13-19

20-29

30-49

50-64

65 or older

Question Title

* 4. Are you part of our HOTT program? (Health Outreach to Teens)

Yes

Question Title

* 5. Is Callen-Lorde your main medical provider?

Yes

Question Title

* 6. Which of these best describes your gender?

Woman

Man

Gender non-binary (GNB)

Transgender Woman

Transgender Man

Other (please specify)

Question Title

* 7. Are you transgender/gender non-binary?

Yes

Question Title

* 8. Which of these best describes your sexual orientation? (Please choose one)

Lesbian

Gay

Bisexual

Queer

Straight

Other (please specify)

Question Title

* 9. What is your race/ethnicity? (Please choose all that apply)

Black/African-American

Latino/a or Hispanic

Native Hawaiian/Pacific Islander

White/Caucasian

Asian

American Indian/Alaskan Native

Other (please specify)

Question Title

* 10. What is your HIV status?

Positive

Negative

I don't know/I haven't been tested in the past 3 years