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Primary Care Clinic Survey
You were recently rostered to our Primary Care Clinic.
Your experience, from making the appointment to completing your visit, is important to us.
Please help us to improve our services by completing the survey below:
Thank you for your time.
OK
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1.
The last time you were sick or were concerned that you had a health problem, did you get an appointment on the date you wanted?
(Required.)
Yes
No
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2.
How easy or difficult was it to schedule your appointment at a time that was convenient for you?
(Required.)
Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Somewhat difficult
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3.
I always feel comfortable and welcome at the clinic?
(Required.)
Yes
No
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4.
Overall, how would you rate the care you received in our Primary Care Clinic?
(Required.)
Exceeded expectations
Met expectations
Below expectations
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5.
How long have you been without a primary care provider?
(Required.)
Less than 12 months
Between 1-2 years
Longer than 2 years
6.
What are two things done particularly well?
7.
What are two things that could be improved?
Current Progress,
0 of 7 answered
