Evergreen Organization Patient Experience Survey 2022

2. Check the box below that tells us how you received your services or care from Evergreen Health, Community Access Services or the Pride Center of WNY in the last year: (You can pick more than one)

In Person Telephone Video

3. Where did you go for services? (You can pick more than one)

4. How long have you been coming to Evergreen Health, Community Access Services and/or the Pride Center of WNY for services?

Less than 6 months Less than 1 year 1-2 years More than 2 years

5. How did you first hear about Evergreen Health, Community Access Services or the Pride Center of WNY? (You can pick more than one)

Social Media Friend or Family Internet/Website Billboard/Bus Shelter Radio/TV Newspaper/Magazine Healthcare Professional Other

6. Check the boxes below that tells us where you have seen Evergreen Health, Community Access Services or the Pride Center of WNY: (You can pick more than one)

Social Media Billboard/Bus Shelter Newspaper/Magazine Internet/Website TV/Radio I have not seen any of the above

7. Do you use any of the following to communicate/talk to us? (You can pick more than one)

Tablet Computer Mobile Phone Landline Phone I don't use any of these

8. How do you get information about Evergreen Health, Community Access Services or the Pride Center of WNY? (You can pick more than one)

Patient Portal Website Social Media Letters I have not used any of these

9. Were you greeted by security or front desk staff when you entered one of our buildings?

Yes No

10. In the last year, how many time times did you visit on of our locations to get services?

1 2 3 4 5 to 9 10 or more I did not visit any locations in the last year

11. In the last year, when you called one of our locations during regular office hours, how often did you get an answer to your question that same day?

Never Sometimes Mostly Always I did not contact the office in the last year

12. In the last year, how often did the staff at Evergreen Health, Community Access Services or the Pride Center of WNY:

	Always	Mostly	Sometimes	Never
Listen carefully to you
Show respect for what you had to say
Help you as much as you needed them
Treat you with courtesy, kindness & respect
Allow you to share things most important to you
Spend enough time with you
Use your preferred pronouns & name

13. Evergreen Health, Community Access Services and the Pride Center of WNY:

	Always	Mostly	Sometimes	Never
Welcomes and values people of all cultures and backgrounds
Lets me express my ideas, opinions and beliefs
Makes me feel comfortable discussing my background and cultural experiences
Has made me feel comfortable and at ease regardless of my gender, race, ethnicity, age, religion, sexual orientation, identity income etc.

14. Pick a number from 0-10, that tells us how your overall experience was at Evergreen Health, Community Access Services or the Pride Center of WNY, 0 is the worst experience and 10 is the best experience possible.

15. Do you feel like your care lines up with things in your life that are most important to you?

Yes Sometimes No

16. Would you recommend our services to other people?

Yes No

17. Is there anything you feel would make your care or services at Evergreen Health, Community Access Services or the Pride Center of WNY better?