LVHC Patient Satisfaction Survey

Thank you for taking the time to fill out this survey. Your responses will help Long Valley Health Center continue providing quality healthcare services and let us know how we can improve.

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* 1. How many times have you visited Long Valley Health Center and Dental Clinic in the last year?

1-2

3-4

5-9

10 or more

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* 2. Which of the following services have you received from Long Valley Health Center and Dental Clinic in the last year?

Medical Care

Dental Care

Behavioral Health

Acupuncture Care

Chiropractic Care

Telehealth

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* 3. Are you interested in transportation to your LVHC appointments?

Yes

No

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* 4. Are you signed up for text appointment reminders?

Yes

No

Want to sign up

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* 5. Please rate the following about your experience at the Long Valley Health Center in the last year

	Strongly Agree	Agree	Disagree	Strongly Disagree	Does Not Apply
I was able to schedule urgent care appointments as soon as I needed	I was able to schedule urgent care appointments as soon as I needed Strongly Agree	I was able to schedule urgent care appointments as soon as I needed Agree	I was able to schedule urgent care appointments as soon as I needed Disagree	I was able to schedule urgent care appointments as soon as I needed Strongly Disagree	I was able to schedule urgent care appointments as soon as I needed Does Not Apply
I was able to schedule check-up and routine care appointments as soon as I needed	I was able to schedule check-up and routine care appointments as soon as I needed Strongly Agree	I was able to schedule check-up and routine care appointments as soon as I needed Agree	I was able to schedule check-up and routine care appointments as soon as I needed Disagree	I was able to schedule check-up and routine care appointments as soon as I needed Strongly Disagree	I was able to schedule check-up and routine care appointments as soon as I needed Does Not Apply
On average, I saw my provider within 15 minutes of my appointment time	On average, I saw my provider within 15 minutes of my appointment time Strongly Agree	On average, I saw my provider within 15 minutes of my appointment time Agree	On average, I saw my provider within 15 minutes of my appointment time Disagree	On average, I saw my provider within 15 minutes of my appointment time Strongly Disagree	On average, I saw my provider within 15 minutes of my appointment time Does Not Apply
During clinic hours, I received answers to my questions the same day	During clinic hours, I received answers to my questions the same day Strongly Agree	During clinic hours, I received answers to my questions the same day Agree	During clinic hours, I received answers to my questions the same day Disagree	During clinic hours, I received answers to my questions the same day Strongly Disagree	During clinic hours, I received answers to my questions the same day Does Not Apply
The LVHC Care Team is helpful, courteous and respectful	The LVHC Care Team is helpful, courteous and respectful Strongly Agree	The LVHC Care Team is helpful, courteous and respectful Agree	The LVHC Care Team is helpful, courteous and respectful Disagree	The LVHC Care Team is helpful, courteous and respectful Strongly Disagree	The LVHC Care Team is helpful, courteous and respectful Does Not Apply
I would recommend Long Valley Health Center and Dental Clinic to my friends and family	I would recommend Long Valley Health Center and Dental Clinic to my friends and family Strongly Agree	I would recommend Long Valley Health Center and Dental Clinic to my friends and family Agree	I would recommend Long Valley Health Center and Dental Clinic to my friends and family Disagree	I would recommend Long Valley Health Center and Dental Clinic to my friends and family Strongly Disagree	I would recommend Long Valley Health Center and Dental Clinic to my friends and family Does Not Apply

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* 6. On a scale of 1 to 10 (with 10 being the best and 1 being the worst), please rate your overall experience at Long Valley Health Center and Dental Clinic from the time you entered the building, including your experience with reception, providers, and the rest of the healthcare team.