• Little Falls Medical Group Survey

    Health Equity Impact Assessment

  • Section 1: MVHS Little Falls Medical Group

    Respond to the following questions based on your experience with MVHS Little Falls Medical Group in the past 12 months.

  • How have you traveled to the MVHS Little Falls Medical Group?*
  • How satisfied are you with health services provided by MVHS Little Falls Medical Group? (0 means "Not Satisfied", 10 means "Highly Satisfied")*
  • I find the healthcare services I need are available here.*
  • I am easily able to make follow up appointments here.*
  • I feel comfortable discussing health concerns with my provider here.*

  • Section 2: Little Falls Relocation

    Respond to the following questions to help us understand the potential impact and benefits of relocating MVHS’s Little Falls Medical Group to 159 W. Main Street, Little Falls, NY?

  • Will on-site parking improve your experience at MVHS Little Falls Medical Group?*
  • Will having all services on one floor improve your experience at MVHS Little Falls Medical Group?*
  • Do you believe the service relocation described above will be beneficial for your health?*
  • I believe my health care and disability needs can be better served in Little Falls with additional services.*

  • OPTIONAL DEMOGRAPHIC DISCLOSURE

  • Which of the following ranges best fits your age? SELECT ONE.*
  • Gender: How do you currently identify? (Please select all that apply)*
  • Ethnicity: Which of the following best describes you? (Please select all that apply)*
  • What is your employment status? (Please select all that apply)*
  • What is your annual household income? SELECT ONE.*

  • We're sorry, this survey is only for patients over the age of 18. Thank you for your time, your survey results will not be recorded. 

  • Should be Empty: