Patient Satisfaction Survey - January 2021

About You

With all the changes in 2020 due to our response to COVID-19, the Family HealthCare Center at SSTAR would like to know how you feel about the services we provide so we can be sure to meet your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you.

About You

Question Title

* 1. Your Age:

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 2. What is your gender?

Female

Male

Choose not to answer

Other (specify)

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* 3. Highest grade level of school completed:

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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* 4. Your Race/Ethnicity:

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 5. Do you consider the Family HealthCare Center your primary source for medical care?

Yes