90 East Second StreetFQHC logo
P.O. Box 270
Emporium, PA  15834
Phone: 814-486-1115
Fax: 814-486-0404

KRHC Patient Satisfaction Survey

PATIENT SATISFACTION SURVEY

What is the name of your Provider? *
How many years have you been a patient of this practice? *
It is easy to make an appointment for a check up. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
It is easy to make an appointment when I am sick. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
The receptionists were helpful, courteous and respectful. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
The receptionists/office staff helped me to understand my insurance. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
The nursing staff was helpful and courteous to me. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
My Provider knows the best way to treat my problem. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
My Provider answered my questions so that I understood. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
I had enough time with my Provider. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
I understood what my Provider told me. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
My Provider treated me like a person, not just another case. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
I receive what I came for during my current or most recent visit. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
The office is open hours that are convenient for me. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
If you disagree with our office hours, please specify the days and times that are best for you.
Overall, I am satisfied with the care I receive. *
 Strongly Disagree 
 Disagree 
 Somewhat Disagree 
 Neutral 
 Somewhat Agree 
 Agree 
 Strongly Agree 
Would you recommend your Provider to a friend? *
 Yes, definitely! 
 Maybe 
 Never 
Please select the amount of time it took for you to be seen for your last scheduled appointment. *
 Within 40 min. 
 Within 30 min. 
 Within 20 min. 
 Within 15 min. 
 Within 10 min. 
 Within 5 min. 
 On time 
Please take a few moments to tell us what you think of that care you have received from your Provider.
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About Us

The Keystone Rural Health Consortia, Inc. began operations on February 2, 1976, in Emporium, PA and is under the direction of the KRHC Board of Directors and CEO, Kristie Bennardi.

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Contact

Phone: 814-486-1115
Fax: 814-486-0404

90 East Second Street
P.O. Box 270
Emporium, PA 15834