Patient Satisfaction Survey

Visits with Your Practitioner

Thinking about the practitioner whom you saw on your last visit, how would you rate...

How prepared the practitioner was for your visits?

The attention this practitioner paid to what you had to say?

The practitioner understood your concerns?

The thoroughness and competence of this practitioner?

This practitioner focused on achieving the goals for my counseling or treatment?

This practitioner provided me information to manage my condition?

How likely would you be to recommend this practitioner to a friend or family member?

Calling to arrange for an Initial Appointment

Thinking back to that PHONE CALL you made to Family Guidance Center for your initial appointment, please rate your agreement with the following statements:

The person I talked with was friendly and helpful.

The first appointment was as soon as I wanted.

I was satisfied with the appointment times offered.

Services in General

Thinking about the services you received through Family Guidance Center over the last 12 months, please respond to the following:

Friendliness and helpfulness of staff when you checked in

Ease of getting the services you believe necessary (group, medication, other)

My requests and concerns were heard and given prompt attention (billing, insurance, referrals, medication)

All things considered, how satisfied are you with Family Guidance Center for counseling or treatment?

This is a new survey. We would value any suggestions for improvement to the survey itself. Additionally, if you would like to make comments about your care, please use the space provided: