Patient Satisfaction Survey

Patient Satisfaction Survey

Thank you for trusting EHC with your healthcare. This short survey (about 3 minutes) helps us learn what we’re doing well and where we can make your experience even better. Your answers are confidential and will never affect your care. Thank you for helping us grow and for strengthening our commitment to providing better care for the whole community.
Date of your visit

MonthDayYear
Date
Department or service you visited (check all that apply):

Other
How would you rate your experience calling to schedule your appointment?
How would you rate the online check-in process using AthenaHealth (patient portal, medical history, online forms)?
How would you rate the check-in process at the front desk?
How satisfied were you with the cleanliness and comfort of the facility?
How would you rate your experience with the lab (vitals, blood draw, etc.)?
How would you rate your Provider’s care, including attentiveness, clear communication, and addressing your concerns?
Did you feel that EHC provided trauma-informed care?
*If you identify as LGBTQIA+, how welcome and respected did you feel during your visit?
*If you came to EHC for abortion care, how would you describe your experience with the process (check-in, ultrasound, counseling, and medications and/or procedure)?Do you have any feedback on how we could improve this service, or things you especially appreciated?
*If the counseling portion of your abortion care had been offered as a telehealth visit before your in-clinic appointment, would that have been of interest to you?
Overall, how satisfied were you with your visit?
Was your care completed at EHC or were you referred to another facility?
How did you hear about us?
What did we do well during your visit?
What could we improve or add to better meet your needs?
Would you be willing to be contacted about your feedback?
If yes, please provide your name and contact information:
Should be Empty: