Falls Church Healthcare Center - Appointment Survey

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Overall, please tell us how you would rate your recent experience with Falls Church Healthcare Center.
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Very poor
Excelllent
2
It was easy for me to locate Falls Church Healthcare Center.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
3
I felt safe entering Falls Church Healthcare Center for my appointment.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
4
I was able to check in for my appointment quickly and easily.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
5
The staff at FCHC reviewed the steps of my appointment thoroughly.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
6
The staff at FCHC answered the questions I asked to my satisfaction.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
7
The staff at FCHC treated me respectfully.Please indicate how strongly you agree or disagree with this statement.
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Strongly Disagree
Strongly Agree
8
Was there a staff member, volunteer, doula or an experience which you found outstanding at your in-person appointment?
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Ok
Ok
9
How easy was it to make an appointment with us?
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Very difficult
Very Easy
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Do you have any additional comments about making your appointment with us online or over the phone?
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Ok
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If you completed your forms online, how easy was it to do so?
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Very Difficult
Very Easy
12
Did you participate in our Telehealth Patient Education Experience?
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How satisfied were you with your Telehealth appointment?
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Not at all satisfied
Very satisfied
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Was there a staff member or an experience which you found outstanding during your Telehealth appointment?
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Ok
15
How likely are you to recommend Falls Church Healthcare Center?
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Not at all likely
Very likely
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What suggestions do you have to improve the patient experience at FCHC?
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Ok
17
Falls Church Healthcare Center is holding a monthly drawing for a gift card for patients who have completed this survey! Would you like to participate in the drawing? We will request your name, email address and street address below. Your personal information will not be linked with the answers you provided above.
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Name
First Name
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Email
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Address
Street Address
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