Telehealth Patient Satisfaction Survey
Please help us improve our telehealth services by completing this survey. All responses to this survey remain confidential. Thank you for your time.
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Email *
Please select how well we did in the following areas: *
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
N/A or Don't Know
My telehealth visit was easy to schedule.
My telehealth visit started within 15 minutes of the scheduled time.
I could hear my provider clearly during the telehealth visit.
My medical needs were met.
My provider explained how my confidentiality and privacy are protected.
I will use telehealth again.
Overall, I was satisfied with this telehealth visit.
How did you learn about our agency and/or our telehealth services?
Why did you choose telehealth instead of an in-person visit?
Is there anything our agency could do to improve your telehealth experience? If yes, please explain.
Do you have any other feedback?
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