Bonita Community Health Center Patient Satisfaction Survey

Thank you for choosing Bonita Community Health Center. We are conducting a survey, and your response is extremely valuable so that we can evaluate and improve our performance. All responses are anonymous and confidential.

* 1. Please evaluate the following statements.

  Excellent Good Average Poor N/A
Courtesy and professionalism of the staff.
Explanation of your payment responsibilities.
Appearance and cleanliness of the facility.
Waiting time compared with anticipated time.
Respect shown for my privacy during my care.

* 2. Please answer YES or NO to the following questions.

  Yes No
I would return to BCHC if the need arose.
I would recommend BCHC to my family and friends.

* 3. Service Used

  Urgent Care Radiology Surgery Rehabilitation Pain
Please select which service you used today.

* 4. How did you hear about us?

* 5. Do you have any other comments, questions, or concerns?