Hours of Operation

Monday - Friday 8:00am - 9:00pm with the exception of Wednesday the clinic is open from 8:00am - 12:00pm, and 5:00pm - 9:00pm.

Saturday - 9:00am - 1:00pm

Patient Satisfaction Survey

Youth Mentoring Program

Patient Satisfaction Survey

Date: Staff Name(s):
Male: Female: Ethnicity:
Services Used Today:
Circle how you heard about us:
Other:
 
Your feedback is important to us. Please let us know how we are doing by taking a moment to complete this survey.
1. The courtesy and respect shown to you by our staff was:
2. The number of days you had to wait between making an appointment and actually seeing a provider:
3. The amount of time you spent waiting in the waiting room past your appointment time was:
4. Communication by staff was:
5. Help from the program staff was:
6. The service you received today was:
7. Do you plan to return?
8. Would you tell your friends or family to come to FNCH?
9. Did you walk-in-for services or have an appointment today?
 Walk-in: Appointment:
10. Were our services affordable to you?
Yes: No:
11. What services would you like us to provide:
12. Do you feel you were helped by the Youth Mentoring Program today?
Yes: No:
(Please describe your answer)
Thank you for completing this survey.