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Hello:

You are invited to participate in our survey related to customer satisfaction in the healthcare industry. In this survey, approximately 100 people will be asked to complete a survey that asks questions about whether or not healthcare organizations are meeting the needs of their customers. It will take approximately 5-7 minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact K. Seeber by email at the email address specified below.


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


 
 

* Have you ever received medical attention? (Emergency or routine visits)
 
Yes
 
No
 
 

* What best describes the means in which your healthcare services are paid?
 
PPO/HMO insurance
 
Pay out of pocket
 
Medicare insurance
 
Other insurance
 
 

* What is your gender?
 
Female
 
Male
 
 

* Your age in years is:
 
25 years or less
 
25-40 years
 
41-59 years
 
60 years or more
 
 

* What is the highest level of education you have achieved?
 
High school education
 
Associates degree
 
Bachelor's degree
 
Masters degree and/or beyond
 
 

* What type of setting do you most often receive medical care?
 
Doctor's office
 
Outpatient clinic
 
Hospital
 
Other
 
 

* Does the healthcare organization that you receive services from have a strong/recognizable brand name in your community?
 
Yes
 
No
 
 

* How did you choose the healthcare organization you currently use? Please select the MOST appropriate response.
 
Referred by a friend
 
The organization accepts your insurance
 
Reputation of the healthcare organization
 
Reputation of the doctors
 
Past experience with this organization
 
Other
 
 

* Does your healthcare organization provide its customers with satisfaction surveys to complete?
 
Yes
 
No
 
Unsure
 
 

* Rank 1-7 in order of importance (with 1 being the MOST important).
Location/Convenience
Technology and clinical capabilities
How well staff members work together to provide care
Appearance of the facility
Response to concerns/complaints made during your visits
Amount of time spent in waiting rooms
Compassionate medical workers
 
 

* Does your healthcare organization advertise services that you would benefit from?
 
Yes
 
No
 
Don't know
 
 

* Do the departments within your healthcare services organization appear to communicate well with one another?
 
Often
 
Sometimes
 
Never
 
 

* Does your healthcare organization handle your concerns/complaints in a satisfactory manner?
 
Often
 
Sometimes
 
Never
 
Not Applicable
 
 

* Do you consider yourself to be loyal to the healthcare organization you receive services from?
 
Yes
 
No
 
 

* Choose the level of health that best describes you.
 
Healthy, no health concerns
 
Somewhat healthy, some health concerns
 
Somewhat healthy, many health concerns
 
Unhealthy, multiple health concerns
 
 

* Have you ever researched healthcare organizations to determine how it ranked in comparison with others based on volume of procedures performed?
 
Yes
 
No
 
 

* Would you recommend your healthcare services organization to others?
 
Yes
 
No
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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