Member Satisfaction Survey - Access to Services

St Vincent IPA continually strives to provide the highest quality care in the most time effective manner. We are interested in our patient's satisfaction. Listed below are a few simple questions that we would like you to respond to. Please respond to the appropriate questions and use the button at the bottom of the screen to submit your survey. Your response to this questionnaire will assist us in monitoring and improving the care our patients receive.

*Primary Care Physician:
*Gender:	Male Female
*Age:
Member ID#:	(Optional)

1a.	In the past six (6) months, have you had an office visit with your primary physician?
	Yes No
	If NO, proceed to question #2a
	If YES, what did you need to see your primary care physician for?
	Urgent Care (Acute, sudden onset of symptoms such as abdominal pain.)
	Non-Urgent Care (Symptoms occuring for over a period of time, such as a cold)
	Routine Care (Routine physical or follow-up for a continual problem)

1b.	How long did it take to schedule an appointment with your primary care physician once you called the office?


2a.	In the past year, have you been seen by a specialist?
	Yes No
	If NO, proceed to end of survey
	If YES, did you seek care for
	A. Urgent Care
	B. Non-Urgent/Routine Care

2b.	What type of specialist did you see?


2c.	How long did it take to get an appointment with the specialist once you were referred from your primary care physician?

We want to hear from you - Contact us @ 1-888-255-5053, ext. 109 or click here to send questions, comments and request more information