YOUR OPINION MATTERS
Evergreen Health cares about what you think. Help us to improve patient experience by telling us how we're doing and what we can do better.
The Evergreen Health staff treat me with kindness, courtesy, and respect.
Always
Mostly
Sometimes
Never
The Evergreen Health staff make me feel welcome.
Always
Mostly
Sometimes
Never
When I call or visit Evergreen health, I receive helpful service.
Always
Mostly
Sometimes
Never
I am encouraged and able to share my ideas, opinions, and beliefs about my services and care.
Always
Mostly
Sometimes
Never
My cultural background and unique life experiences are taken into consideration.
Always
Mostly
Sometimes
Never
I would recommend Evergreen Health to other people.
Always
Mostly
Sometimes
Never
Please rate your overall Evergreen Health patient experience.
Lowest
1
2
3
4
Highest
5
1 is Lowest, 5 is Highest
How can we improve your services at Evergreen Health?
How did you get to this form?
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CONTACT INFORMATION (optional)
Name
First Name
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Phone Number
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Format: (000) 000-0000.
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