Healthcare Experience and Wellbeing Survey*
Please help us improve by sharing your thoughts on your recent healthcare experiences.
How would you rate your overall satisfaction with the healthcare services you’ve received in the past year?*
Think about check-ups, treatment, or support provided.
Which of the following healthcare services have you used in the last 12 months?*
Select all that apply.
What is your preferred way to schedule healthcare appointments?*
Choose the option you use most often.
Have you ever delayed or avoided getting medical care due to cost or lack of insurance?*
This could include prescriptions, tests, or doctor’s visits.
On a scale of 1-5, how easy is it for you to get an appointment when you need one?*
Consider how quickly or conveniently you can be seen by a provider.
What health topics are most important for you to learn more about?*
Select all that are interesting or helpful for you right now.
How confident do you feel talking with your healthcare provider about your health concerns?*
Rate your comfort level during visits.
Is there anything that would help improve your healthcare experience? (Optional)
Feel free to share suggestions or ideas.
Please describe one positive healthcare experience you've had in the past year.
This helps us understand what is working well.
Thank you for taking a part in this survey.
