We want to thank you and/or your family member for being a patient at Shasta Community Health Center. Our goal is to provide quality medical and dental services with care and compassion. We would like to know how you feel about the services you recently had with us so we can make sure that we are meeting your needs. Please take the time to complete this survey. All responses will be kept confidential. THANK YOU FOR YOUR FEEDBACK!

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* 1. I was given an appointment as soon as I wanted.

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* 2. It was easy to get through to the Center on the telephone.

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* 3. Front office staff were courteous during my visit.

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* 4. My wait in the lobby area after check in was less than 15 minutes.

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* 5. My wait in the exam room or dental treatment room before the provider of care arrived was less than 15 minutes.

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* 6. My healthcare provider listened carefully to me during my visit.

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* 7. Identify the Provider you saw at your last visit.

  Medical Providers Primary Care NeuroPsych Dental Providers Specialists
Use the drop down boxes to select your provider.

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* 8. My healthcare provider explained things clearly during my visit.

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* 9. My healthcare provider spent enough time with me during my visit.

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* 10. My healthcare provider respected what I said during my visit.

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* 11. Overall, the care that I received during my visit met my needs.

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* 12. The nurse or assistant who helped me during my visit met my needs.

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* 13. I would recommend my healthcare provider to my family and friends.

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* 14. Please share any other comments you may have.

THANK YOU!

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