PATIENT SATISFACTION SURVEY - Nasson Health Care

Skip to content

Leadership Contact Us FAQ Careers

Care & Services

Primary Medical Care Dental Care Behavioral Health Care Preventative Care/Vaccinations Telehealth Remote Patient Monitoring

Medical Providers Dental Providers Behavioral Health Providers

Locations & Hours

Patient Information

Patient Portal Pay Bill Online New Patient Walk-In Clinic Payment/Insurance Good Faith Estimate Need A Ride Medicare Patients Patient Survey

PATIENT SATISFACTION SURVEY

Please take a moment to share your thoughts regarding your recent visit with us by filling out our survey online. Your confidential responses will assist us in improving our services and addressing areas where we can better meet your needs. Thank you for sharing your observations with us.

Who Did You See Today:
Month:
Year:
Your Age:
Your Sex:
How likely is it that you would recommend our services to a friend or relative?
- 0 - Not at all likely
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 - Extremely likely
Please rate how well you think we are doing in the following areas.
EASE OF GETTING CARE:
Ability to get in to be seen
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Hours Center is open
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Convenience of Center’s location
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Prompt return on calls
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
WAITING:
Time in waiting room
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Time in exam room
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Waiting for tests to be performed
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Waiting for test results
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
PROVIDER:
Listens to you
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Takes enough time with you
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Explains what you want to know
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Gives you good advice and treatment
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
MEDICAL/DENTAL ASSISTANTS:
Friendly and helpful to you
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Answers your questions
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
ALL OTHER STAFF:
Staff was friendly and helpful to you
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Staff answered your questions
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
PAYMENT:
Value of services provided based on what you paid
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Explanation of charges
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Collection of payment/co-pay (payment process)
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
FACILITY:
Neat and clean building
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Ease of finding where to go
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Comfort and safety while waiting
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
Privacy of the environment
- Great - 5
- Good - 4
- OK - 3
- Fair - 2
- Poor - 1
LIKELY TO RECOMMEND:
What do you like best about our Health Center?
How can we make your experience at Nasson Health Care better?
Name (optional)
First Last
Email (optional)

15 Oak Street
Springvale, ME 04083
phone: (207) 490-6900
fax: (207) 459-2822
Info@nassonhealthcare.org