Patient Care Experience Survey
For your appointment at Jericho Road Community Health Center please give a star rating based on your experience during your last visit, from 5 stars (best) to 1 star (worst).
Ability to get the appointment you wanted as quickly and easily as you wanted.
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1
2
3
4
5
Are you able to get routine care appointments (physical exams, annual wellness visit, etc) when you want them?
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Yes
No
Since you answered 'No' above, which appointment time would best meet your needs for routine care (physical exams, annual wellness visit, etc)?
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Morning Appointments (before 10:00 AM)
Afternoon Appointments (1:00 PM–3:59 PM)
Late Afternoon Appointments (4:00 PM–5:59 PM)
Evening Appointments (after 6:00 PM)
Telehealth Appointments, when appropriate
Length of time you spent waiting to see a provider (Doctor/Nurse).
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1
2
3
4
5
On the day of your appointment, the practice/doctor understood and considered your health concerns in a way that relates to your personal and family beliefs/culture.
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1
2
3
4
5
How satisfied are you about communication regarding your care, including discussing test results, diagnosis and treatment plan?
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1
2
3
4
5
How satisfied are you with the ongoing care and care management services you receive?
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1
2
3
4
5
How satisfied are you with the level of health education you receive from your doctor and care team?
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1
2
3
4
5
Please rate your access to care and treatment, regardless of your ability to pay.
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1
2
3
4
5
How satisfied are you with the way your doctor/provider involves doctors and caregivers outside Jericho Road?
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1
2
3
4
5
Please rate the overall quality of care you received during your last visit.
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1
2
3
4
5
How likely are you to recommend us to a friend, family, or colleague?
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Not likely
0
1
2
3
4
5
6
7
8
9
Very likely
10
0 is Not likely, 10 is Very likely
Is there anything we can do to serve you better? (750 character limit)
0/750
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Submit
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