March 2025 Patient Satisfaction Survey

We would like to know how you feel about the services and care you receive at Grace Medical Home. This information will be used to improve our services. This survey is optional, and your answers will be kept confidential.

Question Title

* 1. Please indicate how well you think we are doing in the following areas?

	Poor/ Strongly Disagree	Fair/ Disagree	Okay/ Neutral	Good/ Agree	Great/ Strongly Agree	N/A
My health has improved because of the care I receive here.	My health has improved because of the care I receive here. Poor/ Strongly Disagree	My health has improved because of the care I receive here. Fair/ Disagree	My health has improved because of the care I receive here. Okay/ Neutral	My health has improved because of the care I receive here. Good/ Agree	My health has improved because of the care I receive here. Great/ Strongly Agree	My health has improved because of the care I receive here. N/A
My overall experience at Grace encourages my faith in God.	My overall experience at Grace encourages my faith in God. Poor/ Strongly Disagree	My overall experience at Grace encourages my faith in God. Fair/ Disagree	My overall experience at Grace encourages my faith in God. Okay/ Neutral	My overall experience at Grace encourages my faith in God. Good/ Agree	My overall experience at Grace encourages my faith in God. Great/ Strongly Agree	My overall experience at Grace encourages my faith in God. N/A
Before becoming a patient at Grace, how would you rate your overall health?	Before becoming a patient at Grace, how would you rate your overall health? Poor/ Strongly Disagree	Before becoming a patient at Grace, how would you rate your overall health? Fair/ Disagree	Before becoming a patient at Grace, how would you rate your overall health? Okay/ Neutral	Before becoming a patient at Grace, how would you rate your overall health? Good/ Agree	Before becoming a patient at Grace, how would you rate your overall health? Great/ Strongly Agree	Before becoming a patient at Grace, how would you rate your overall health? N/A
After becoming a patient, how would you rate your overall health?	After becoming a patient, how would you rate your overall health? Poor/ Strongly Disagree	After becoming a patient, how would you rate your overall health? Fair/ Disagree	After becoming a patient, how would you rate your overall health? Okay/ Neutral	After becoming a patient, how would you rate your overall health? Good/ Agree	After becoming a patient, how would you rate your overall health? Great/ Strongly Agree	After becoming a patient, how would you rate your overall health? N/A
My preferred language was used during my appointment	My preferred language was used during my appointment Poor/ Strongly Disagree	My preferred language was used during my appointment Fair/ Disagree	My preferred language was used during my appointment Okay/ Neutral	My preferred language was used during my appointment Good/ Agree	My preferred language was used during my appointment Great/ Strongly Agree	My preferred language was used during my appointment N/A
The staff and volunteers were sensitive to my cultural and ethnic background	The staff and volunteers were sensitive to my cultural and ethnic background Poor/ Strongly Disagree	The staff and volunteers were sensitive to my cultural and ethnic background Fair/ Disagree	The staff and volunteers were sensitive to my cultural and ethnic background Okay/ Neutral	The staff and volunteers were sensitive to my cultural and ethnic background Good/ Agree	The staff and volunteers were sensitive to my cultural and ethnic background Great/ Strongly Agree	The staff and volunteers were sensitive to my cultural and ethnic background N/A

Question Title

* 2. If Grace Medical Home was not an option, where would you most likely go for healthcare? (check one box)

Health Clinic (like TrueHealth, Community Health Centers, Orange Blossom Family Health, etc.)

Doctor’s Office

Urgent Care Clinic (Centra Care or Minute Clinic)

Emergency Room

Would not get care

If emergency room, which one?

Question Title

* 3. If Grace Medical Home was not an option, where would you most likely get your medications?

Buy at Publix, Walmart, Target.

Buy at a drug store like CVS, Walgreens, etc.

Get through mail order service.

Try to get it from the drug manufacturer or other assistance program.

I would go without medications.

Question Title

* 4. If Grace Medical Home was not an option, where would you most likely go for dental care?

Dental Clinic (like TrueHealth, Community Health Centers, Orange Blossom Family Health, etc.)

Dentist’s Office

Emergency Room

Would not get care

If emergency room, which one?