San Luis Walk-In Clinic, Inc. Patient Survey
  • #
    Chart # (if applicable)
  • / /
  • Clinic Appointment Enrollment Assitance
    Reason for the Visit:
  • Wait Length of Time
    More than 30 Minutes
    15-30 Minutes
    10-15 Minutes
    5-10 Minutes
    5 Minutes
  • Yes No
    Was the Doctor's explanation easy to understand
  • Yes No
    Does your Provider or assistant review your medication each visit?
  • Poor Regular Good Excellent
    Courtesy of Employees
    Appearance of Office and Staff
    Access to Appointments
    Convenience of Location
  • TV Newspaper Friend Other
    How did you hear about the SLWIC?
  • Yes No
    Are the clinic's operational hours accessible to you and your family?
    Did someone explain "Passport to Health" to you?
    Does the practice helps coordinate your specialist appointments?
    Overall were you satisfied with the care you received at the practice?