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Anchorage Neighborhood Health Center - Patient Satisfaction Survey
RequiredRequired Question(s)

Thank you for taking the time to complete our patient satisfaction survey.  This survey will take about 5 minutes to complete.  Your responses are important and help us to make changes to improve the timeliness and quality of your care.  None of the information collected in this survey will be associated with any medical records, nor will any treatment information or personally identifying information be collected. 

 If you have any questions or concerns, please contact Jon Zasada at 792-6591 or jzasada@anhc.org

We appreciate you choosing ANHC as your healthcare home.

 

 
Required 1.

I have been seen as a patient at ANHC in the last six months.

 

Yes
No (please go to question 24)
Don't Know or Unsure
Required 2.

Was your most recent visit the first time that you had used ANHC?

 

 

yes
no

SCHEDULING

 

 
3.

Are you satisfied or dissatisfied with the length of time it takes to reach an operator when I call the health center on the phone?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't Know or No Opinion
4.

Do you normally schedule appointments at the health center by phone, in person, or at the end of your appointment?  (multiple answers accepted)

 

Over the phone
In person
At the end of the appointment
Don't know or no opinion
5.

Would you agree or disagree that it is easy to schedule an appointment at the health center?

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
6.

In the past 12 months have you left a phone message for a health center employee that required a response or call back?

If yes, please answer Question 7, if not go to Question 8.

 

Yes
No
7.

(If you answered yes to question 6)

Are you satisfied or dissatisfied with the length of time it takes to have your phone messages returned? 

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion
8.

In the last 6 months, have you had tests or other procedures requiring a call back from staff?

If yes, answer Question 9, if not go to Question 10.

 

Yes
No
9.

Were you satisfied or dissatisfied with the length of time it took to receive a call on your test results or other issues?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion

MEDICAL APPOINTMENT

 

 
10.

Would you agree or disagree that you were you able to schedule your appointment at a time of your choosing? 

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
11.

Were you satisfied or dissatisfied with the speed of the registration process?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion
12.

Were you satisfied or dissatisfied with the length of time you waited for your appointment in the reception area?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion
13.

Were you satisfied or dissatisfied with the amount of time you waited for your medical care provider in the exam room?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion
14.

Would you agree or disagree that your medical care provider understands important information about your medical history?

 

Strongly Agree
Agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
15.

Would you agree or disagree that your medical care provider pays attention to your questions and concerns?

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
16.

Would you agree or disagree that your medical care provider makes an effort to include you in the decisions about your treatment?

 

Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
17.

Would you agree or disagree that your provider and care team give you information on how to manage your health?

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
18.

Would you agree or disagree that your medical provider talks to you

 using words you can understand?

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
19.

Would you agree or disagree that your medical provider spends enough time with you during your appointments?   

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
20.

Overall, are you satisfied or dissatisfied with your medical care provider at ANHC?

 

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Don't know or no opinion

OVERALL SATISFACTION

 

 
21.

Would you agree or disagree that overall, you are treated with courtesy by ANHC staff?

 

Strongly Agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don't know or no opinion
Required 22.

Would you return to the health center for care even if a particular visit does not go well?

 

Definitely yes
Probably yes
Probably not
Definitely not
Don't know or no opinion
Required 23.

Would you recommend the Anchorage Neighborhood Health Center to your family and friends?

 

Definitely yes
Probably yes
Probably not
Definitely not
Don't know or no opinion

THE NEW ANCHORAGE NEIGHBORHOOD HEALTH CENTER

 

 
Required 24.

Are you aware that ANHC will open its new health center in September and no longer offer services at the Fairview location?

 

Yes
No
25.

Are you likely or unlikely to continue using ANHC for your health care in its new location?

 

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely
Don't know or no opinion
26.

How important are each of the following factors in your likeliness to use the new health center?

 


(1 = very important and 5 = very unimportant)
 
It's my current provider
It provides all services under one roof
It's in a new, larger, and more comfortable facility
It's location at International Airport Road and C Street
27.

Do you have any comments, concerns or questions about the move to the new building that you would like to share?

 

 

350 characters left.

INTERNET USE & COMMUNICATION

 

 
28.

Do you use the internet on a regular basis?

 

Yes
No
29.

Do you receive either a paper or electronic newsletter from ANHC?

 

Yes
No
30.

Given the choice, what is the best way to contact you with lab results, appointment times, etc.?

 

 

Email
Text
Cell Phone
Land Line
Work Phone
Other
Don't know or no opinion

DEMOGRAPHICS

 

 

 
31.

Can you tell me your age range?

 

18-44
45-64
65+
32.

How long have you been a patient of ANHC?

 

 

less than one year
1 year
2 years
3-5 years
6-10 years
10 years or more
don't know or no opinion
33.

What is your insurance coverage?

 

Uninsured
Commercial Insurance
Medicare
Medicaid
Other  
34.

What is your method of transportation to the current health center? 

 

 

Personal Automobile
Taxi
A ride from a friend or family member
People Mover bus
Anchor Rides
Other
Walk
Don't know or no opinion
35.

 

What will be your method of transportation to the new health center at International and C St? 

 

 

Personal Automobile
Ride from a friend or family member
Walk
People Mover
AnchorRIDES
Other
Taxi
Don't know or no opinion

COMMENTS

 

 
36.

Any comments or stories about you that you would like to share?

 

 

 

 

350 characters left.
37.

Would you care to leave your name, email or phone for additional follow-up?

 

 

 


First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com