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  2. 2015
  3. July
  4. P
  5. PhysicianOne Urgent Care Survey
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Questions marked with an * are required Exit Survey
 
 
* What is your gender?
 
Female
 
Male
 
 
 
* Into which age range do you fall?
 
Under 18
 
18-34
 
35-49
 
50-64
 
65+
 
 
 
* Which of the following PhysicianOne Urgent Care locations have you visited? [Select all that apply]
 
Ridgefield
 
Groton
 
Brookfield
 
Newtown
 
Derby
 
Glastonbury
 
Norwich
 
Southbury
 
Norwalk

 
 
 
* During your visit to PhysicianOne Urgent Care, which of the following services were provided?
 
X-ray services
 
Prefer Not to Answer
 
General illness Exam (Fever, cold/flu, infections, etc.)
 
Occupational Health / Workers' Compensation Services
 
Lacerations and minor injuries (stitches, infected wounds, sprains, etc.)
 
Lab Services (Strep throat, Urinalysis, Pregnancy, etc.)
 
Other
 
 
 
* For services provided, how did you pay for your visit to PhysicianOne Urgent Care?
 
Insurance - Private (e.g. United Healthcare, Blue Cross Blue Shield, etc.)
 
Insurance - Medicaid / Medicare / Husky
 
Out of Pocket
 
Company Paid
 
Other
 
 
 
* What words come to mind to describe your experience at PhysicianOne Urgent Care?
   
 
 
Thinking about your arrival at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* A warm greeting from the staff when you arrive
* Information about which medical care professionals are on duty
* A medical care concierge to help sign you in and outline the process
* Automatic entry doors so that you don't have to touch door handles
* A time estimate for how long it will be before I see a medical care professional
* A sign showing costs for services
* A layout that allows for a private conversation with staff at check-in
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about arrival? It nothing then please write "nothing."
   
 
 
Thinking about the waiting area experience at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slightly Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* Free coffee or tea
* A TV with mainstream programming
* An open layout that removes the walls between you and the staff
* Mainstream music playing
* A free Wi-Fi connection
* Mainstream magazines
* A spacious waiting area with spread out seating
* Separate "sick visit" seating vs. "well visit" seating
* Art from my local community
* A play area for kids
* A TV with information on healthy living
* A water cooler with cold water
* Couches in the waiting area
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations below, what, if anything, would you want to see changed or improved about the waiting area? If nothing, then please write "nothing."
   
 
 
Thinking about the exam room at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* Posters with health education information
* Sound proof rooms that keep conversations private
* A TV with a remote
* A warm greeting from the medical care professional
* Decorations for kids in a separate kid's exam room
* A TV with information on healthy living
* Art from my local community
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations, what, if anything, would you want to see changed or improved about the exam room? If nothing, then please write "nothing."
   
 
 
Thinking about the discharge process at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* A warm goodbye from the medical care professional and/or medical assistant
* Receiving final instructions from the medical care professional that treated you
* The ability to fulfill common prescriptions right away at the facility.
* Receiving final instructions from the medical assistant
* An explanation of next steps you should expect (billing, when to call for lab results, etc.)
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about the discharge process? If nothing, then please write "nothing."
   
 
 
Below is an image of the layout and contents of a typical bill from PhysicianOne Urgent Care. Please rate this bill on the following attributes:
Strongly Disagree [1] Somewhat Disagree [2] Neither agree nor disagree [3] Somewhat Agree [4] Strongly Agree [5]
* It's easy to read
* It's easy to understand
* Services provided are clearly listed
* The bill represents a clear summary of the visit
* It's comprehensive
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of the example bill below, what, if anything, would you want to see changed or improved about the billing? If nothing, then please write "nothing."
   
 
 
Thinking about prior visits to PhysicianOne Urgent Care, how would you rate your level of satisfaction with the following aspects of your experience?
Extremely Dissatisfied [1] Somewhat Dissatisfied [2] Neither Satisfied nor dissatisfied [3] Satisfied [4] Extremely Satisfied [5]
* Arrival
* Waiting Area
* Exam Room / Examination
* Check out / Discharge
* Billing
 
 
Please rate how each aspect of your experience with PhysicianOne Urgent Care below matched up vs. your level of expectations.
Far Worse than Expected [1] Somewhat Worse than Expected [2] Met my Expectations [3] Somewhat Better than Expected [4] Far Better than Expected [5]
* Friendliness of medical professionals
* Friendliness of support staff
* Check-in process
* Billing
* Kids play area in the waiting room
* Clinic cleanliness
* Clinic decor
* Wait time in the exam room
* Comfort of the waiting room
* Entertainment in the waiting room
* Comfort of the exam room
* Wait time in the waiting area
* Selection of reading materials
* Knowledgeable staff
* Checkout process
 
 
 
* From entering PhysicianOne Urgent Care to being discharged at the end of the visit, how much time do you expect to spend?
 
Less than 45 minutes
 
45-60 minutes
 
61-90 minutes
 
Greater than 90 minutes
 
 
 
* Into which ethnic group do you classify yourself?
 
Caucasian or White
 
African-American or Black
 
Hispanic or Latino
 
Asian
 
Other (Please Specify)
 
Prefer not to answer
 
 
 
* In what range does your household income fall?
 
Under $25,000
 
$25,001 - $49,999
 
$50,000 - $74,999
 
$75,000 - $99,999
 
$100,000 - $149,999
 
$150,000 - $199,999
 
Over $200,000
 
Prefer not to answer
 
 
 
* What is your highest level of education completed?
 
Some high school
 
High School Diploma
 
Some college
 
Associate Degree
 
Bachelor's Degree
 
Advanced Degree
 
Other
 
 
If you would like to enter for a chance to win a FitBit health tracker, please enter your contact information below. If you would prefer not to answer, simply click next to conclude the survey.
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