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Satisfaction Survey





Please rate the services provided by HealthParters Central Minnesota Clinics during your most recent visit. Circle the number that best describes your experience. ("1" Strongly Disagree to "7" Strongly Agree)
 
Overall
1. Overall, I am satisfied with my visit 1
2
3
4
5
6
7
 
2. I would recommend HPCMC to friends or family members for their health care needs 1
2
3
4
5
6
7
Check-in
3. During this visit, the person at the check-in desk:
Listened 1
2
3
4
5
6
7
 
Was Helpful 1
2
3
4
5
6
7
Nursing
4. During this visit, the nurse:
Was welcoming 1
2
3
4
5
6
7
 
Listened 1
2
3
4
5
6
7
 
Valued me as a patient 1
2
3
4
5
6
7
 
Gave me their full attention 1
2
3
4
5
6
7
 
Was respectful 1
2
3
4
5
6
7
Physician/Provider
5. Please check the physcian who spent the most time with you during this visit. If you did not see a physician or provider, please leave blank and skip to question 9. Casey Amiot PA-C
Scott Bammann MD
Jennifer Fuchs PA-C
Bernadette Hightower-Hughes MD
Julie Johnson MD
Patrick Lalley MD
Paula Lindhorst MD
Les Lofgren MD
Mohamed Maray MD
Jonathan Nelson MD
Barry Radin PA-C
Brad Rutten PA-C
John Sebas MD
Barbara Strandemo PNP
Gary Strandemo MD
Jan Suska CNP
Pam Waage PNP
Julie Zweiner MD
6. During this visit, the physician/provider:
Was welcoming 1
2
3
4
5
6
7
 
Listened to my problems 1
2
3
4
5
6
7
 
Had excellence medical knowledge 1
2
3
4
5
6
7
 
Explained what he/she was doing 1
2
3
4
5
6
7
 
Valued me as a patient 1
2
3
4
5
6
7
 
Answered questions about my problem 1
2
3
4
5
6
7
 
Used terms I easliy understood 1
2
3
4
5
6
7
 
Involved me in making decisions about my care 1
2
3
4
5
6
7
 
Provided clear instructions for treatment or care 1
2
3
4
5
6
7
 
Took enough time to examine me 1
2
3
4
5
6
7
 
7. Press one number to rate the medical care you recieved during this visit ("0" equals worst, "10" equals best):
Your medical care during this visit 0
1
2
3
4
5
6
7
8
9
10
 
8. Would you recommend this Physcian/Provider to a friend? Yes
No
Why or Why not?
Scheduling
9. For the first visit, the person scheduling my appointment:
Listened 1
2
3
4
5
6
7
 
Valued me as a patient 1
2
3
4
5
6
7
 
Worked with my schedule 1
2
3
4
5
6
7
 
10. Which of the following best describes your wait time before entering the exam room? Less than 15 mins.
More than 15 mins. with an explanation
More than 15 mins. with no explanation
 
11. Which of the following best describes your wait time in the exam room before the physician/provider arrived? 5 mins. or less
6 to 10 mins.
11 to 15 mins.
More than 15 mins.
 
12. What makes you most satisfied about this visit to HPCMC?
About You
HPCMC is committed to providing equal care to all patients. Please help us by answering these optional questions about yourself. If you are filling out the survey for the patient (a child, elderly parent, etc.) please answer questions 18-22 about the patient.
13. Your Gender Female
Male
 
14. Your race: Native American
Black/African American
Hispanic/Latino
Asian
White
 
15. Your age: 10 or younger
11 to 17
18 to 29
30 to 44
45 to 64
65+
 
16. How long have you been a patient at HPCMC? Less than 2 years
2 years to 5 years
More than 5 years
N/A
 
17. In the past year, how many visits have you made to this clinic (not counting visits to Behavorial Health, NovaCare, or dentist)? No visits
1 visit
2 or 3 visits
4 or more visits
 
If you were not the patient (for example, you brought a child or elderly parent) please fill out this section about the patient:
18. Patient's gender: Female
Male
 
19. Patient's race: Native American
Black/African American
Hispanic/Latino
Asian
White
 
20. Patient's age: 10 or younger
11 to 17
18 to 29
30 to 44
45 or older
 
21. How long has this patient been coming to HPCMC? Less than 2 year
2 years to 5 years
More than 5 years
N/A
 
22. In the past year, how many visits has this patient made it to this clinic (excluding visits to Behavorial Health, NovaCare, or a dentist)? No visits
1 visit
2 or 3 visits
4 or more visits
 
We appreciate your comments, both positive and negative.
 
Week #
 


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Free Child Care

HealthPartners Central Minnesota Clinics offers a convenient Healthy Kids Club that allows medical and dental patients to receive free child care during their appointments.

 

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Our Mission

The mission of HealthPartners Central Minnesota Clinics is to deliver personalized care, focused on improving the health and well being of each patient. Our Quality Initiatives reflect this as they focus on preventive medicine and the management of chronic health conditions.

 

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Medical & Dental

2251 Connecticut Ave S
Sartell, Minnesota 56377
(320) 253-5220


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