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Christian Community Health Center (CCHC) - Customer Satisfaction Survey

Customer Satisfaction Survey

Thank you taking the time to participate in our customer satisfaction survey. Providing excellent service is our top priority at Christian Community Health Center (CCHC). Your responses will assist CCHC to better service you in the future. Be assured that all answers you provide will be kept strictly confidential. 

This survey should take less than 5 minutes to complete. 

If you have any questions or comments, please contact the Program Director or onsite manager.


1.Which CCHC program do you receive the majority of your supportive services?  (please select one)(Required.)
2.What is your age range? (please select one)(Required.)
3.What ethnicity do you identify with? (please select one)(Required.)
4.What race do you most identify with? (please select all that apply)(Required.)
5.What gender do you identify with? (please select one)(Required.)
6.How long have you been receiving supportive services at CCHC? (please select one)(Required.)
7.Please tell us how well we are doing in our housing/supportive services programs in the following areas: Access, Coordination of Care/Services, Communication, and Well-Being/Care/Support (please select one rating for each statement/question)(Required.)
GREAT
GOOD
OK
FAIR
POOR
N/A
Access: Your phone calls, requests or questions were answered promptly
Access: Staff clearly stated program rules, expectations or client rights/responsibilities
Coordination of Services: Staff provided referrals in a timely manner
Coordination of Services: Staff provided information on other CCHC services
Coordination of Services: Staff provided information on other community services, resources or supports
Communication: Staff explained things to you in a way you understood
Communication: Staff treated you with courtesy and respect
Well-Being/Care/Support: Staff talked with and supported you about your service plan or goals
Well-Being/Care/Support: Overall, how would you rate the housing/supportive services you've received from CCHC?
8.Please answer the following questions regarding supportive services.(Required.)
Yes
No
Do the services you receive from CCHC address your immediate needs?
Do you consider CCHC to be your regular resource for supportive services?
9.Comments:(Required.)
Current Progress,
0 of 9 answered