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1. Our records show that you got care from the provider named below in the last 6 months in person, by phone, or by video. Is that correct? (Choose Multiple as Needed) (Required.)

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2. Is this the provider you usually see if you need a checkup,
want advice about a health problem, or get sick or
hurt? (Required.)

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3. How long have you been going to this provider? (Required.)

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4. In the last 6 months, how many times did you visit this provider to get care for yourself? (Required.)

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5. In the last 6 months, did you contact this provider’s office to get an appointment for an illness, injury, or condition that needed care right away? (Required.)

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6. In the last 6 months, when you contacted this provider’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? (Required.)

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7. In the last 6 months, did you make any appointments for a check-up or routine care with this provider? (Required.)

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8. In the last 6 months, when you made an
appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed? (Required.)

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9. In the last 6 months, did you contact this provider’s office with a medical question during regular office hours? (Required.)

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10. In the last 6 months, when you contacted this provider’s office during regular office hours, how often did you get an answer to your medical question that same day? (Required.)

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11. In the last 6 months, how often did this provider explain things in a way that was easy to understand? (Required.)

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12. In the last 6 months, how often did this provider listen carefully to you? (Required.)

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13. In the last 6 months, how often did this provider seem to know the important information about your medical history? (Required.)

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14. In the last 6 months, how often did this provider show respect for what you had to say? (Required.)

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15. In the last 6 months, how often did this provider spend enough time with you? (Required.)

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16. In the last 6 months, did this provider order a blood test, x-ray, or other test for you? (Required.)

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17. In the last 6 months, when this provider ordered a blood test, x-ray, or other test for you, how often did someone from this provider’s office follow up to give you those results? (Required.)

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18. In the last 6 months, did you take any prescription medicine? (Required.)

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19. In the last 6 months, how often did you and someone from this provider’s office talk about all the prescription medicines you were taking? (Required.)

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20. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? (Required.)

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21. In the last 6 months, how often was scheduling for this provider’s office as helpful as you thought they should be? (Required.)

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22. In the last 6 months, how often were schedulers for this provider’s office treat you with courtesy and respect? (Required.)

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23. Please tell us how this provider and the office staff could have improved the care and services you received in the last 6 months.

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24. How has your overall experience been with Oregon Integrated Health?

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25. In the Past 6 Months have you used the OIH Oral Health Services with Kyna Knights, EPDH? (Required.)

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26. Using any number from 0 to 10, where 0 is the worst oral care possible and 10 is the best oral care possible, what number would you use to rate all of the oral care you personally received at OIH in the last 6 months

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27. In the past 6 Months have you used the OIH Behavioral Health Services with Kaitlyn Selser, LPC?

Behavioral Health Counselors also known as BHC’s, are Licensed Counselors that specialize in managing mental and behavioral health conditions, such as stress, Weight Loss, Stop Smoking programs. BHC have been designed to work as part of the medical team directly working with your primary care physician. 

Behavioral Health Counselors have been added to the Oregon Integrated team to help support each Primary Care Physician with the overall health of each patient.  SAME DAY APPOINTMENTS AVAILABLE

The BHC has same day appointments available that are - 30 minutes long to provide you strategies and a plan to reach your goals. They can see patients through both Telemedicine & In Clinic.

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28. Using any number from 0 to 10, where 0 is the worst BHC appointment and experience possible and 10 is the best BHC appointment and experiencepossible, what number would you use to rate Kaitlyn Selser and the BHC Program at OIH you personally received.

What number would you use to rate the Behavioral Health Counseling you personally received in the last 6 months?

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29. In general, how would you rate your overall health?

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30. What is your age? (Required.)

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31. What is the highest grade or level of school that you have completed?

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32. Are you of Hispanic or Latino origin or descent?

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33. 32) What is your race? Mark one or more

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34. In general, how would you rate your overall mental or
emotional health (Required.)

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35. Are you male or female? (Required.)

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36. In the last 6 months, were any of your visits with this provider...

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37. Did someone help you complete this survey

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38. How did that person help you? Mark one or more

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