Your Input is Valuable

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).

1. Ability to get the appointment you wanted as quickly and easily as you wanted
   
2. Are you able to get routine care appointments (physical exams, annual wellness visit, etc) when you want them?
   YesNo
3. If you chose 'No' on Question 2, which appointment time would best meet your needs for routine care (physical exams, annual wellness visit, etc)?
   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 appropriateNot Applicable
4. Length of time you spent waiting to see a provider (Doctor/Nurse)
   
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
   
6. How satisfied are you about communication regarding your care, including discussing test results, diagnosis and treatment plan?
   
7. How satisfied are you with the ongoing care and care management services you receive?
   
8. How satisfied are you with the level of health education you receive from your doctor and care team?
   
9. Please rate your access to care and treatment, regardless of your ability to pay
   
10. How satisfied are you with the way your doctor/provider involves doctors and caregivers outside Jericho Road?
    
11. Please rate the overall quality of care you received during your last visit
    
12. How likely are you to recommend us to a friend, family, or colleague?
    10 (Very likely)9876543210 (Not likely)
13. Is there anything we can do to serve you better?
    0/750