PHC Case Managers patient satisfaction survey Question Title * 1. Please select the case manager you recently worked with Tori Shawn Tamara Brittany S. Brenda Tammy Question Title * 2. Case management has helped me with the following (select all that apply) Medicine Food Housing Transportation Sliding Scale Insurance Behavioral Health referrals Other Question Title * 3. Staff were professional and knowledgeable Exceptional Good Fair Poor N/A Question Title * 4. Staff followed through as needed in a timely manner Exceptional Good Fair Poor N/A Question Title * 5. Communications are clear and concise Exceptional Good Fair Poor N/A Question Title * 6. Fully attentive to your needs and requests Exceptional Good Fair Poor N/A Question Title * 7. Complaints and/or concerns have been addressed in a timely manner Exceptional Good Fair Poor N/A Question Title * 8. Other comments and/or suggestions: Question Title * 9. Please leave your name and number if you would like to speak to someone regarding your recent visit with case management. Done