GMC Patient Satisfaction.S1 Question Title * 1. Are you at least 18 years of age? Yes No Question Title * 2. Are you a current patient of Goshen Medical Center? This means you have had one face to face visit with our medical or dental provider in the last twelve months. Yes No Question Title * 3. If you are a current patient, which facility did you visit? Beulaville Bolton Clinton OBGYN Clinton Medical Clinton Dental Faison Medical Faison Pediatrics Faison OBGYN Faison Dental Fremont Garland Goldsboro Medical Goldsboro Eastpointe Jacksonville New River Kenansville OBGYN Mt. Olive Community Mt. Olive Lamberts Plainview Rose Hill - Greenevers Trenton Medical Wallace Medical Wallace OBGYN Warsaw OBGYN Warsaw Wellness Other (Please Name Site if Not Listed) Question Title * 4. Are you a member of one or more of the following population groups? U.S. Military - Active Duty or Reserve U.S. Military - Veteran Homeless (Living in a Shelter) Homeless (Living with Friend or Relative) Migrant or Seasonal Farmworker Question Title * 5. How clean was the facility? Exceptional Good Fair Not clean Rate our level of cleanliness Rate our level of cleanliness Exceptional Rate our level of cleanliness Good Rate our level of cleanliness Fair Rate our level of cleanliness Not clean Other (please specify) Question Title * 6. How friendly was the front office staff? Extremely friendly Very friendly Needs improvement Not very friendly Rate our front desk customer service Rate our front desk customer service Extremely friendly Rate our front desk customer service Very friendly Rate our front desk customer service Needs improvement Rate our front desk customer service Not very friendly Other (please specify) Question Title * 7. How friendly was the medical support staff? This would be the nurse, lab assistant, dental assistant and other clinical support staff. Extremely friendly Very friendly Needs Improvement Not very friendly Rate our clinical staff's customer service Rate our clinical staff's customer service Extremely friendly Rate our clinical staff's customer service Very friendly Rate our clinical staff's customer service Needs Improvement Rate our clinical staff's customer service Not very friendly Other (please specify) Question Title * 8. What type of provider did you see? Physician/Doctor Nurse Practitioner Physician Assistant Dentist Dental Hygienist Lab XRay Question Title * 9. How would you rate your experience with the provider? Excellent Good Fair Not Good Rate your satisfaction with your provider. Rate your satisfaction with your provider. Excellent Rate your satisfaction with your provider. Good Rate your satisfaction with your provider. Fair Rate your satisfaction with your provider. Not Good Other (please specify) Question Title * 10. How would you rate the location? Safe location Accessible Good parking Attractive and well maintained Good signage Question Title * 11. If we were not able to assist you at the site you visited, did the staff refer you to another Goshen site? Yes, they assisted me in getting seen. No, they did not offer any additional assistance. Other (please specify) Next