Patient Satisifaction SurveyYour feedback is important to us, Please take a moment to fill out this survey. Question Title * 1. What language do you mainly speak at home? English Spanish Cape Verdean Creole Hatian Creole Portuguese French ASL Other (please specify) Question Title * 2. Where was this survey taken? Mainspring Online Registration Intake Lab Adult medicine Pediatrics Ob/Gyn Mental Health Social Services Dental Eye services Urgent Care Question Title * 3. Who was your health care provider today? Ackil MD, Albert Aju MD, Rahana Anderson, CNM, Jenny Andrade, Angela Andrade, Jessica Angara MD, Radhika Ardzinski, Michelle Aslami MD, Angela Ayano NP, Martha Azam MD, Nabila Barbosa, Kelly Benoit, Kettly Bibuld MD, Douglass Bodapati MD, Srinivas Cabral, Jack Celestin, Ermithe Celestin, Monique Chavan MD, Sunny R. Chang DMD, Thomas Clerge, NP Rachel Crews, Caitlin DaSilva, Anibal Delince, Betty Depina, Leila Didebulidze MD, Gvantsa Diethelm LICSW, Eleanor Dolan MD, JaneMarie Edinburgh MD, David Etienne,CNM Cassandra Exume, Raymonde Fernandes NP, Brenda Fernandes, Soriana Fontes, Claudia Francoeur MD, Marie-Lourdes Francoeur NP, Pamela Ghany, Saira Gohokar MD, Nikhil Gonzalez, Martha Haffty NP, Andrea Hamid MD, Mohammed Hanjani MD, Soheil Henderson, Katerina Hoch MD, Zwi Hopkins, Jeanne Ibarra MD, Gloria Jafery, Syed Johnson LICSW, Alan Jure, Cassandra Kahn, Daniel Kana, Yaman Kanakanala, Ananda Khalaf, OD, Alia Kiritz CNM, Chloe Kogut CNM, Amy Laboratory, Main St Laforest, Coumadin, Natacha Larece MD, Katrice Lee MD, Jean Tuan Leigh, Ginger Lightfoot MD, Benjamin Marmolejos MD, Victor Marshall, Derniere Maskati MD, Azmat Mbuyamba MD, Madeleine Merchia MD, Vikas Michel, Edwich Mone RN, Margie Montrond, Amelia Muqqadus MD, Syed Narayan MD, Poorna Nephrology Newell, Lisa Norton, Wendy O'Garro, Deika Paiva, Alexander Pala MD, Navneet K. Palacios Meza MD, Nicolas Panerio-Langer MD, Joseph Pathak MD, Shrui S. Pedi Nurse Perez, Zoila Pop MD, Olivia Fabiola Prasad, MD Devina Pratti, Joan Pringle CNM, Kathleen Rodrigues, Manuela Ruiz CNM, Vida Mia Sandel MD, Megan T. Sannapareddy MD, Sasikala Sepulveda, Felicita Soares, Rui Solomon MD, Joel Sousa LCSW, Claudia St. Louis, Stacy Tang MD, Margot N. Tarnavsky, Tetyana Teixeira, Avelina Thomas-Frost NP, Kaitlin Uniyal, MD, Rachana Urgent Care Nurse Vega, Rebecca Vergara, Marelin Villanueva NP, Francesca Ward, Leah Wax CNM,Barbara Weene MD, Lawrence Wente, Susan CNM Whigham, Gwen Wilson, Andrea Woodcome, Henry E Unknown Question Title * 4. How would you rate your experience with your health care provider? Excellent Good Fair Poor Question Title * 5. How do you feel about your overall experience at The Brockton Neighborhood Health center today ? Excellent Good Fair Poor Question Title * 6. Would you recommend Brockton Neighborhood Health Center to a friend or family member? Yes No Other (please specify) Question Title * 7. When you are sick, how many days did you have to wait for an appointment ? Same Day Next Day 2-5 Days More than a week Question Title * 8. In the last 12 months, how often did your healthcare provider explain things in a way that was easy to understand? Never Sometimes Usually Always Question Title * 9. Do you feel involved with your health care decisions ? Sometimes Usually Always Never Question Title * 10. In the past 12 months, have you had a referral to a specialist? Yes No Not Applicable Question Title * 11. Was your referral appointment schedule in an efficient manner? Yes No If No (please explain) Question Title * 12. Do you know you can call the Health Center during nights and weekends? Yes No Question Title * 13. In the last 12 months, I received a call back after leaving a message within; Same Day Next Day Never Not Applicable Question Title * 14. Do you have any other comments, questions, or concerns? Done