Employee Satisfaction Survey printable pdf download

Employee Satisfaction Survey

EMPLOYEE SATISFACTION SURVEY

Thank you for allowing the Employee Health and Wellness Center to provide your medical care. We would

appreciate it if you would complete this satisfaction survey and either e-mail to Linda Yaffe at

lyaffe2@jhmi.edu

or fax to Linda Yaffe’s attention at 5-1617. Please feel free to add any additional comments.

Sincerely,

The Employee Health and Wellness Center

Name (optional): __________________________________________Visit Date: _______________________

Reason for the Visit:

_____ Initial Visit

_____ Follow-up Visit

Strongly

Disagree

Agree

Disagree

Opinion

Agree

1. Staff was courteous and helpful when the

appointment was scheduled.

2. Staff at the reception area was courteous

and helpful.

3. I did not wait too long to see the Nurse

Practitioner.

4. The Nurse Practitioner was courteous and

helpful.

5. The quality of medical care given by the

Nurse Practitioner was excellent.

6. The Nurse Practitioner spent a sufficient

amount of time listening to my complaints

and examining me.

7. The Nurse Practitioner provided a lot of

information about my condition and

treatment options.

8. The Case Manager was helpful in assisting

me with referrals.

9. My overall rating of the clinic experience

was excellent.

10. I would recommend the Employee Health

and Wellness Center to another employee

for medical care.

Additional Comments: _______________________________________________________________________

__________________________________________________________________________________________

Employee Satisfaction Survey