JEWISH RENAISSANCE MEDICAL CENTER/RICHARD HALL CMHC  
500 NORTH BRIDGE ST., BRIDGEWATER, NJ 08807

Your honest comments, suggestions and ideas will help us ensure that we are meeting your needs, and identify any opportunities to improve. Please complete the evaluation form and return it to the reception desk, put it into the survey box at the front door of Richard Hall CMHC or mail it back to us or go to the following web link and complete online: https://www.surveymonkey.com/r/RHCMHCRII
 

Question Title

* 1. Health Care Provider

Question Title

* 2. Ease of scheduling an appointment

Question Title

* 3. The waiting time to see the health care provider

Question Title

* 4. The health care provider clearly explained in words that I understood, my medical issues and concerns

Question Title

* 5. The health care provider included me in decisions about my treatment

Question Title

* 6. The health care provider encouraged me to take care of myself by exercising, taking prescribed medications and making healthy lifestyle choices

Question Title

* 7. The health care provider referred me to classes such as smoking cessation, nutrition, exercise, and others to assist me in taking control of my health

Question Title

* 8. I understand the instructions the health care provider gave me about my medications, tests, follow-up referrals and treatments

Question Title

* 9. I know when to call my health care provider if there are changes in my medical condition or health status

Question Title

* 10. I am satisfied with the care that I have received during this visit

Question Title

* 11. I would rate the courtesy, concern, and skill of the nurse, medical assistant, case manager and other staff members

Question Title

* 12. Likelihood of me recommending this health care provider to others

Question Title

* 13. Likelihood of me recommending this program of integration to others

Question Title

* 14. Additional Comments / Suggestions:

Question Title

* 15. What is your age?

Page1 / 1
 
 100% of survey complete.

T