About Your Care Team:

Thank you for recently choosing the Northwest Community Health Center to provide you or your family member with healthcare services. The staff and board of the health center feels it is valuable to pay very close attention to our patient's comments and suggestions, and rely on these very suggestions to help us improve our services in the future. To assist us in learning more about your satisfaction with your visit we ask that you fill out the survey below.

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* 1. During you most recent visit did you see a member of you care team within 15 minutes of your scheduled appointment time?

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* 2. Did your Care Team listen carefully to you?

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* 3. Did your Care Team give you easy to understand information about any health questions or concerns you had?

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* 4. Did you Care Team seem to know the important information about your medical history?

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* 5. Did your Care Team ask you about other providers you have seen since your last visit with us?

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* 6. Did your Care Team show respect for what you had to say?

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* 7. Did your Care Team explain things in a way that was easy for you to understand?

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* 8. A self-management goal is a goal that the patient sets to help improve their overall health. Did your Care Team encourage you to set a self-management goal?

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* 9. During normal business hours, when you have left a voice message for your Care Team, was your phone call returned within 4 hours?

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* 10. During normal business hours, when you have left a voice message for your Care Team, did you receive an answer to your question within 24 hours?

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* 11. Using a number from 0 to 10, where 0 is the worst Care Team possible and 10 is the best Care Team possible, what number would you give your Care Team?

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* 12. Would you recommend your Care Team to others?

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* 13. Please rate the following on a scale of 1 - 5, where 1 is NOT satisfied, 3 is Neutral and 5 is VERY satisfied.

  1 2 3 4 5
I was treated with respect and courtesy.
Please rate the cleanliness of the facility.
Overall rating os services received at NWCHC.

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* 14. Have you used NWCHC Behavioral Health Services?

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* 15. Was your billing statement accurate and understandable?

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* 16. Was the billing staff helpful and prompt in assisting you?

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* 17. Was our phone system easy to use?

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* 18. Were you able to get an appointment when you wanted it?

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