Care Coordination Effectiveness Survey
Please help us improve our care coordination services by completing this brief survey about your recent experience.
What is your relationship to the person receiving care?
*
I am the patient
Family member or caregiver
Healthcare provider
Other
How would you rate the communication between care team members?
*
1
2
3
4
5
How well were your needs and preferences considered in the coordination of care?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
How easy was it to access the services and information you needed?
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How satisfied are you with the overall care coordination experience?
*
1
2
3
4
5
What impact did care coordination have on health outcomes or quality of life?
*
Significant positive impact
Some positive impact
No noticeable impact
Negative impact
Not sure
Please share any suggestions for improving care coordination services.
Submit Survey
Should be Empty: