Were your phone calls were returned in a timely manner?

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* 1. Were your phone calls were returned in a timely manner?

How would you rate the length of time in the waiting room at HCI before your appointment?

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* 2. How would you rate the length of time in the waiting room at HCI before your appointment?

How was the waiting time in the reception?

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* 3. How was the waiting time in the reception?

Waiting time in the exam room?

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* 4. Waiting time in the exam room?

How was the personal manner, courtesy, respect, sensitivity and friendliness of our providers?

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* 5. How was the personal manner, courtesy, respect, sensitivity and friendliness of our providers?

How was the personal manner, courtesy, respect, sensitivity and friendliness of our reception staff? 

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* 6. How was the personal manner, courtesy, respect, sensitivity and friendliness of our reception staff? 

How was the personal manner, courtesy, respect, sensitivity and friendliness of our nurses, medical or dental assistants?

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* 7. How was the personal manner, courtesy, respect, sensitivity and friendliness of our nurses, medical or dental assistants?

How were the skills and abilities of your provider?

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* 8. How were the skills and abilities of your provider?

How was the amount of time your provider spent with you during your visit? 

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* 9. How was the amount of time your provider spent with you during your visit? 

Was your provider willing to listen carefully to your comments?

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* 10. Was your provider willing to listen carefully to your comments?

Did your provider explain things in a way you could understand?

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* 11. Did your provider explain things in a way you could understand?

How were the skills and abilities of your nurses, medical or dental assistants?

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* 12. How were the skills and abilities of your nurses, medical or dental assistants?

How were the instructions in regards to your diagnosis/follow-up care/future appointments?

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* 13. How were the instructions in regards to your diagnosis/follow-up care/future appointments?

If medications, labs or referrals were needed, were the instructions clear? 

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* 14. If medications, labs or referrals were needed, were the instructions clear? 

How were the health education and self management handouts?

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* 15. How were the health education and self management handouts?

How was your overall satisfaction of our clinic?

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* 16. How was your overall satisfaction of our clinic?

What was your overall satisfaction in regards to the care you received from our staff?

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* 17. What was your overall satisfaction in regards to the care you received from our staff?

Who is your provider and/or nurse?

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* 18. Who is your provider and/or nurse?

The following questions are OPTIONAL

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* 19. The following questions are OPTIONAL

What is your age?

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* 20. What is your age?

What is your ethnicity?

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* 21. What is your ethnicity?

Do you have health insurance?

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* 22. Do you have health insurance?

How many times have you been to Healthy Connections in the past year?

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* 23. How many times have you been to Healthy Connections in the past year?

If this is your first visit, how did you hear about Healthy Connections?

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* 24. If this is your first visit, how did you hear about Healthy Connections?

Where would you go for medical care if you had not found Healthy Connections?

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* 25. Where would you go for medical care if you had not found Healthy Connections?

Have you ever put off  health care because of the cost?

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* 26. Have you ever put off  health care because of the cost?

Have you ever put off your child's health care because of cost?

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* 27. Have you ever put off your child's health care because of cost?

Where have you received medical care in the past 3 years?

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* 28. Where have you received medical care in the past 3 years?

If someone in your home uses internet, how is it accessed?

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* 29. If someone in your home uses internet, how is it accessed?

Do you use text messaging by phone? 

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* 30. Do you use text messaging by phone? 

Is there anything that could have made your visit better? (Suggestions/Comments/Kudos)

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* 31. Is there anything that could have made your visit better? (Suggestions/Comments/Kudos)

Is there a special staff member you would like to recognize?

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* 32. Is there a special staff member you would like to recognize?

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