Marquette County Health Department Client Satisfaction Survey Clinic 2014

This is an anonymous survey to help us improve our service. No personal information is collected.

Question Title

* 1. The service I received in the Clinic was for :

Immunizations

Family Planning

Breast and Cervical Cancer Screening

WIC

Sexually Transmitted Disease

COC

Children's Special Health Care Services (CSHCS)

Maternal Infant Health Program

Other (please specify)

Question Title

* 2. Staff are friendly and polite.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 3. Staff are helpful and knowledgeable in serving my needs.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 4. Our office hours meet your needs.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 5. Appointments are easily and conveniently scheduled to meet my needs.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 6. The length of my visit, including wait time, was appropriate.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 7. Program services meet my needs.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 8. I felt my services were provided in a confidential setting.

N/A

Very Good

Good

Average

Poor

Very Poor

Question Title

* 9. I was asked if I have health insurance.

Yes

Question Title

* 10. If you do NOT have health insurance -
I was offered help in applying for the Healthy Michigan Plan or another plan.

N/A

Yes and I applied

Yes I was offered help, but did not apply

No I was not offered help

Question Title

* 1. The service I received in the Clinic was for :

Question Title

* 2. Staff are friendly and polite.

Question Title

* 3. Staff are helpful and knowledgeable in serving my needs.

Question Title

* 4. Our office hours meet your needs.

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* 5. Appointments are easily and conveniently scheduled to meet my needs.

Question Title

* 6. The length of my visit, including wait time, was appropriate.

Question Title

* 7. Program services meet my needs.

Question Title

* 8. I felt my services were provided in a confidential setting.

Question Title

* 9. I was asked if I have health insurance.

Question Title

* 10. If you do NOT have health insurance - I was offered help in applying for the Healthy Michigan Plan or another plan.

Question Title

* 11. We value your comments.

* 10. If you do NOT have health insurance -
I was offered help in applying for the Healthy Michigan Plan or another plan.