Reproductive Health Patient Satisfaction Survey

Thank you for sharing your experience with us!

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* 1. At which center did you receive services?

Oswego

Fulton

Mexico

SUNY Oswego

Pulaski

Telemedicine

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* 2. What is your age?

Under 19

19-24

25-50

51-64

65+

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* 3. Are you:

Male

Female

Non-Binary

Genderfluid

Prefer not to disclose

Other

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* 4. What city or town do you live in?

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* 5. How long have you been a patient of OCO's The Centers for Reproductive Health?

Less than 1 month

1-6 months

6-12 months

1-2 years

2-5 years

more than 5 years

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* 6. How many days after you call are you scheduled for an appointment?

Same Day

1-3 days

4-6 days

7+ days

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* 7. Are The Centers staff prompt and helpful when you arrive to check-in for your appointment?

Yes

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* 8. How easy is it to receive services at The Centers

Easy

Somewhat Easy

Somewhat Difficult

Difficult

Please explain:

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* 9. How convenient are The Centers Hours/Days?

Very convenient

Somewhat convenient

Somewhat inconvenient

Very inconvenient

Please explain:

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* 10. Is there anything that makes it difficult for you to make or attend your appointment?

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* 11. How helpful was The Centers staff?

Very Helpful

Helpful

Not Helpful

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* 12. Do you feel like you were treated respectfully?

Yes

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* 13. Were all of your questions and concerns answered?

Yes

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* 14. How satisfied were you with The Centers Services?

Very satisfied

Satisfied

Somewhat dissatisfied

Very dissatisfied

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* 15. How well did the program meet your needs?

All needs were met

Many needs were met

Few needs were met

No needs were met

Reproductive Health Patient Satisfaction Survey

Thank you for sharing your experience with us!

Question Title

* 1. At which center did you receive services?

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* 2. What is your age?

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* 3. Are you:

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* 4. What city or town do you live in?

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* 5. How long have you been a patient of OCO's The Centers for Reproductive Health?

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* 6. How many days after you call are you scheduled for an appointment?

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* 7. Are The Centers staff prompt and helpful when you arrive to check-in for your appointment?

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* 8. How easy is it to receive services at The Centers

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* 9. How convenient are The Centers Hours/Days?

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* 10. Is there anything that makes it difficult for you to make or attend your appointment?

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* 11. How helpful was The Centers staff?

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* 12. Do you feel like you were treated respectfully?

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* 13. Were all of your questions and concerns answered?

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* 14. How satisfied were you with The Centers Services?

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* 15. How well did the program meet your needs?

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* 16. What services have been most helpful to you (for example: birth control, STD testing, annual exams)?

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* 17. Were there other services you needed that OCO could not help you with?

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* 18. Would you recommend The Centers to a friend?

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* 19. Please share any additional comments or suggestions you may have for us: