Customer Satisfaction Survey

On a recent survey 91.5% of patients reported satisfaction with their care team at IHCSCV

To help us meet our needs, please complete this online survey. Your answers will be kept private and anonymous. Thank you for your time.

* Your Race/Ethnicity

Asian    Pacific Islander    Black/African American    American Indian/Alaska Native    White    Hispanic or Latino

* For which service are you taking this survey:

Medical   Dental    CWO    Counseling    WIC

* For which site are you taking this survey:

Meridian Sites    Wellness Center    Silver Creek Site    O'Connor Site    Mountain View Site

* How many times have you visited the Indian Health Center in the past 12 months?

Once    2-5 times    6-10 times    10 or more times


Service:

* In the last 12 months, when you phoned the Indian Health Center of Santa Clara Valley to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?

Always    Usually    Sometimes    Never

* Are the hours convenient?    Yes    No

* Is the location convenient?    Yes    No

* Are your calls returned on time?     Always    Usually    Sometimes    Never

* How long do you spend in the waiting room?    0-15 minutes    15-30 minutes    More than 30 Minutes

* Is the office clean and neat?    Yes    No


Provider:

* Would you recommend your service provider to your family and friends?     Yes    Somewhat    No

* In the last 12 months, how often did this service provider explain things in a way that was easy to understand?

Always    Usually    Sometimes    Never


Staff:

* In the last 12 months, how often were the clerks and receptionists at your service provider’s office as helpful as you thought they should be?

Always    Usually    Sometimes    Never

* How well does he or she listen to you?    Great    Good    OK    Fair    Poor

* How well does he or she answer your questions?    Great    Good    OK    Fair    Poor

* How would you rate the advice & information you received?    Great    OK    Poor


Overall:

* Would you recommend this office to your family and friends?    Yes    No

* How would you rate the Indian Health Center office?    Great    Good    OK    Fair    Poor

* Do you feel your care is well organized (other caregivers, tests, classes , ect.) when needed?

Always    Usually    Sometimes    Never

* Were your worries and concerns addressed at today’s visit?    Yes    No


* Please provide us with any comments you have related to your answers above:

 
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