Your Input Is Valuable

  1. Please choose the location where you were seen.
    Other (please specify)
    0/750
  2. Which provider did you see for your last appointment?
  3. Did you get an appointment as quickly as you wanted?
    Comments
    0/750
  4. Did you get an appointment on the day of the week and time that you wanted?
    Comments
    0/750
  5. Did you feel you waited too long in the waiting room before seeing your health care provider?
    Comments
    0/750
  6. Do you feel like your doctor/provider understands your health concerns?
    Comments
    0/750
  7. Are you happy with the way we inform you about your care, such as giving you test results, discussing your care?
    Comments
    0/750
  8. Are you happy with the way we teach you about improving your health and ways to stay healthy?
    Comments
    0/750
  9. Are you happy with the way your doctor/provider involves other doctors and caregivers in your care when needed?
    Comments
    0/750
  10. I feel like Jericho Road is concerned with more than just my physical health.
    Comments
    0/750
  11. Is there anything we can do to serve you better?
    0/750