UW Family Medicine (UWFM) Patient Satisfaction Survey

THIS IS A CONFIDENTIAL SURVEY; PLEASE DO NOT PROVIDE YOUR NAME ON THE SURVEY

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* 1. Select where or how you had YOUR most recent visit.

Office Visit

Telehealth/Virtual Visit

Phone Visit

Lab

X-Ray

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* 2. What type of visit was it? Check all that apply.

Medical

Dental

Behavioral Health

Nursing Visit

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* 3. Additional Visit Information

Provider Name

Nursing Staff Member Name

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* 4. When do you prefer scheduling your appointments at UWFM?

Weekdays, Early Morning 8:00 am – 9:30 am

Weekdays, Daytime Hours 10:00 am – 4:00 pm

Weekdays, Evening Hours 4:30 pm – 6:30 pm

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* 5. Would you use Saturday appointments if we provided them?

Yes

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* 6. When you call UWFM to make an appointment or to ask a question, how often is your call answered in a timely manner?

Always

Sometimes

Rarely

Never

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* 7. Regarding your most recent visit or phone call, was the staff who assisted you friendly, helpful, and courteous? Mark only one.

Yes

Maybe

Other (please specify)

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* 8. Have you recently had to seek health care elsewhere because you could not get a same-day or next-day appointment with us?

Yes

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* 9. Are you enrolled in our patient portal? Mark only one.

I use the patient portal and find it easy to use.

I use the patient portal, but it is not easy to use.

I do not have access to the patient portal.

I do not prefer to use the patient portal.

I was not aware of the patient portal.

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* 10. How likely are you to recommend your UWFM provider to family and friends?

Very unlikely

Unlikely

Neither likely nor unlikely

Likely

Very likely

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* 11. In your opinion, do our fees create a problem for you to get the care you need?

Yes

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* 12. Have you, in the last year, had to postpone or cancel a visit to UWFM because of the fees we charge?

Yes

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* 13. Please provide any other comments you would like to share with UWFM.

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100% of survey complete.