Quality Care Questionnaire

    We would like to know how you feel about the services we provide so that we can improve on those services and make sure we are meeting your needs. Your responses are directly responsible for improving these services.

    All responses are kept confidential and anonymous.

    Thank you for your time.

    Please select how well you think we are doing in the following areas:
    Very Satisfied / Satisfied / Neutral / Unsatisfied / Very Unsatisfied

    1. Ease of getting care

    2. Waiting

    3. Staff

    4. Facility

    5. Any suggestions for improvement ?

    Thank you for taking the time to complete our survey!