Rural Health Medical Program Patient Survey

At Rural Health Medical Program we value you, our Patient. The purpose of this survey is to help us understand how to better serve you and your feedback is important. We hope that you will answer all questions although some questions may be sensitive. Your identity and the answers you give will remain confidential.

Please provide the following information:
Rural Health Medical Program Inc. where you received service.
Patient's zip code
Did patient have an appointment?
Very GoodGoodFairPoorVery Poor
How well we explained your condition or problem to you?
What is the likelihood that you will recommend our care provider to others?
How well did our staff practice cleanliness and safety (by wearing gloves, washing hands, etc)?
How well did our staff protect your privacy?
How well did our staff work together to take care of you?
What is the likelihood that you will recommend our Rural Health Medical Clinic to others?
What is the likelihood of you or your family member returning for future health care needs?
How would you rate the ease of scheduling an appointment with us?
How would you rate the courtesy of the staff in our registration area?
How would you rate the help that you received from our staff on the phone?
How would you rate the time you had to wait before going into the exam room?
How would you rate the friendliness of the Doctor / Dentist?
How would you rate the friendliness of the nurse/ nurse assistant / dental assistant?
How would you rate the level of care and concern you were shown during your visit?
How would you rate our hours of operations?
If patient heard about RHMPI from another source, please let us know, thanks.
Please leave us any additional feedback.

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