We’re Listening – Your Feedback Matters

Thank you for sharing your thoughts with us. Your feedback helps us improve the care and services we provide. If you’re considering transferring your care, please let us know what influenced your decision.

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* 1. Site:

6200 Beach Channel Drive

1288 Central Avenue

114-39 Sutphin Boulevard

118-11 Guy R. Brewer Boulevard

120 Richards Street

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* 2. Access and Convenience

I relocated to another area

The location is hard for me to reach

Hours don't fit my schedule

Would like Saturday hours

Difficulty scheduling by phone

Unable to get an appointment when needed

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* 3. Care Experience

Wait times are too long

Unable to see my primary physician

Not satisfied with provider communication or care

Not satisfied with staff professionalism

Other (please specify)

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* 4. What could we do to improve your experience?

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* 5. Overall, how satisfied were you with your experience at our health center?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

We’re Listening – Your Feedback Matters

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* 1. Site:

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* 2. Access and Convenience

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* 3. Care Experience

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* 4. What could we do to improve your experience?

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* 5. Overall, how satisfied were you with your experience at our health center?

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* 6. Please provide your name:

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* 7. Phone Number:

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* 8. Date: