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Updated MHHS Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. We will use your responses to improve our services. All responses will be kept confidential and anonymous. Thank you for your time.
1.Please indicate that location of your visit:(Required.)
2.Convenience of location for you?(Required.)
3.Convenience of hours of operation?(Required.)
4.How easy was it to schedule a visit with us?(Required.)
5.Treatment of confidential information by staff was:(Required.)
6.Please rate the cleanliness of your exam room(Required.)
7.Length of wait time?(Required.)
8.How would you rate the way your financial arrangements were handled?(Required.)
9.Did staff follow appropriate hand washing guidelines?(Required.)
10.Did your provider have a good understanding of your medical history?(Required.)
11.Did your provider listen to you carefully?(Required.)
12.Did the provider talk with you about specific goals for your health?(Required.)
13.How would you rate the courtesy of our staff?(Required.)
14.Did the provider explain what to do if your condition gets worse?(Required.)
15.Would you recommend this health center to others?(Required.)
16.Please indicate the name of the provider you saw during your visit today.(Required.)
17.Please indicate the following for the person seen by the provider today:(Required.)
18.Please indicate your age range:(Required.)
19.How was your visit paid for?(Required.)
20.Which Quarter of the year does the indicated data represent?(Required.)
21.Did registration staff ask for updated information (Photo ID, insurance, address, etc.)?(Required.)
22.Was the registration staff courteous?
23.Please use the space below to address any questions, comments or concerns with your visit. If you would like us to follow up, please include your contact information.