Patient Satisfaction Survey

At Citrus County Rural Health, we are dedicated to delivering high-quality, patient-centered care. As part of our ongoing Quality Improvement program, we regularly seek feedback from patients like you to help us improve services, access, and overall experience.

Your responses are confidential and anonymous unless you choose to provide contact information for follow-up. Sharing your thoughts will not affect your care in any way.

This survey takes about 5-10 minutes and covers key areas like access to appointments, provider communication, staff courtesy, and facility cleanliness.

FTCA Notice: This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Why Your Feedback Matters

  • Helps us identify strengths and areas for improvement.
  • Informs staff training, process changes, and service enhancements.
  • Supports our compliance with federal requirements for Federally Qualified Health Centers.
  • Results are reviewed quarterly by our Quality Improvement team and governing board.

If you have a specific complaint or grievance, please use our Grievance Process instead.

How to Complete the Survey

  • Online: Fill out the secure form below (recommended – instant submission).

  • Printable PDF: Download, complete, and return in person, by mail, or email.

  • In Person: Ask for a paper copy at our clinic (927 N Citrus Ave, Crystal River, FL 34428).

  • Phone Assistance: Call 352-565-7342 if you need help or a read-aloud version.

Patient Satisfaction Survey Form

Downloadable version available here

Part I: Providers

How long has it been since your most recent in-person, phone, or telehealth visit with the provider named above?
These questions ask about your most recent visit with this provider.
During your most recent visit, were you and this provider able to communicate effectively?
Was your recent visit as soon as you needed?
Did your most recent visit start on time?
During your most recent visit, did this provider explain things in a way that was easy to understand?
During your most recent visit, did this provider listen carefully to you?
During your most recent visit, did this provider show respect for what you had to say?
During your most recent visit, did this provider spend enough time with you?
During your most recent visit, did this provider have the medical information they needed about you?
Did someone from this provider's office follow up to give you visit results?
Using any number from 0 to 5, where 0 is the worst visit possible and 5 is the best visit possible, what number would you use to rate your most recent visit?

Part II: Staff at Provider's Office

Staff at a provider's office may talk with you about your visit, help set it up, and remind you about your appointment. Thinking about your most recent visit, did you talk to staff from this provider's office?
Thinking about your most recent visit, was the staff from this provider's office as helpful as you thought they should be?
Thinking about your most recent visit, did the staff from this provider's office treat you with courtesy and respect?

Part III: Access to Care