Patient Satisfaction Survey

How long have you been coming to your Saba Cares?
Less than 6 months
At least 6 months but less than 1 year
At least 1year but less than 3 years
At least 3 years but less than 5 years
5 years or more
In the last 12 months, how many times did you visit Saba Cares?
None
1 time
2 times
3 times
4 times
5 to 9 times
10 or more times
In the last 12 months, did you phone Saba Cares with a health question or for an appointment during regular office hour?
Yes
No
In the last 12 months, when you phoned Saba Cares clinic to get an appointment for care you needed, how often did you get an appointment as soon as you needed?
Never
Sometimes
Usually
Always
Not applicable
In the last 12 months, did you make an appoinment for a checkup or routine care at Saba Cares?
Yes
No
In the last 12 months, when you phoned Saba Cares with a health question during regular office hour, how often did you get an answer to your question that same day?
Never
Sometimes
Usually
Always
Not applicable
In the last 12 months, did you phone Saba Cares with a health question after regular office hour?
Yes
No
In the last 12 months, when you phone Saba Cares with a health question after regular office hours, how often did you get an answer to your question that same day?
Never
Sometimes
Usually
Always
Not applicable
How long has it been since your most recent visit at Saba Cares?
Less than 1 month
At least 1 month but less than 3 months
At least 3 months but less than 6 months
At least 6 months but less than 12 months
12 months or more
Wait time includes time spent in the waiting room and exam room. During your most recent visit, did you see the healthcare professional within 15 minutes of your appointment time?
Yes
No
During your most recent visit, did the healthcare professional explain things in a way that was easy to understand?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare professional listen carefully to you?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did you talk with the healthcare professional about any health concern?
Yes
No
During your most recent visit, did the healthcare professional give you easy to understand information about these health concerns?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare professional seem to know the important information about your medical history?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare professional show respect for what you had to say?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare professional spend enough time with you?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare professional order a blood test, x-ray, or other test for you?
Yes
No
Did a healthcare professional follow up to give you those results?
Yes
No
Not applicable
Using any number from 0 to 10, where 0 is worst service possible and 10 is the best service possible, what number would you use to rate Saba Cres?
10 Best service possible
9
8
7
6
5
4
3
2
1
0 Worst service possible
Would you recommend Saba Cares to family and friends?
Yes, definitely
Yes, somewhat
No
During your most recent visit, were the health care worker by the counter as helpful as you thought they should be?
Yes, definitely
Yes, somewhat
No
During your most recent visit, did the healthcare worker at the counter treat you with courtesy and respect?
Yes, definitely
Yes, somewhat
No
In which age group are you?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
Are you male or female?
Male
Female
What category patient are you?
Inpatient (a patient admitted in the Admission Department)
Home Health client
Nursing Home client
Outpatient (a patient attending Saba Cares without staying overnight)
Who was the main person who filled in this questionnaire?
The patient/client
A friend or relative of the patient or client
Both patient/client with friend/relative
The patient/client with the help of a health professional
Is there any way Saba Cares can improve the service to you? Please explain:
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