Metro Care Connection

This is a Zoomerang survey for Metro Care Connection.  Collecting this information will help keep us informed of our clients wants and needs. All information will be kept confidential.

1

Gender?

Female
Male
2

What grade are you in?

3
How many times have you visited Metro Care Connection? (include today)
1st time
2 - 5 times
6 - 10 times
More than 10 times
4

How does Metro Care Connection look?

Excellent
Very good
Good 
Could be Improved
5

How did Metro Care Connection staff treat you?

Excellent
Very good
Good 
Could be Improved
6

How would you rate the service you received?

Excellent
Very good
Good 
Could be Improved
7

How long did you have to wait before you were seen?

Less than 5 minutes
5 - 10 minutes
11 - 15 minutes
More than 15 minutes
8

This visit was:

Appointment
Walk-in
9

What were you here for today?

10

Did you feel your privacy was respected?

Yes
No
11

Did you learn anything new today about taking care of yourself?

Yes
No
12

If you answered "Yes" to question #11 what did you learn?

13

What else would you like to say about Metro Care Connection?

Thank you for taking the Metro Care Connection survey!