Post Visit Survey

1
Location
Apopka
Bithlo
Clermont
Forest City
Four Corners
Groveland
Lake Ellenor
Leesburg
Meadow Woods
Pine Hills
Tavares
Winter Garden
West Lakes
2
3
Apopka Providers* This field is required.
Leslie Bruce MD, Family Medicine
Dion Farrell MD, Family Medicine
Paul Jeung MD, Family Medicine
Louwella Mosqueda APRN, Family Medicine
Patricia Edwards-Graham APRN, Family Medicine
Zureima Cartegena MD, Pediatrics
Cathy Franco MD, Pediatrics
Carol Stephenson APRN, Pediatrics
Shiela Bahn MD, OB/GYN
Lauren Baeringer APRN, OB/GYN
Jarsley Ediwn-Barry APRN, OB/GYN
Stacey Menos PA, OB/GYN
Richard Real MD, OB/GYN
Aileen Treto-Cabrera MD, OB/GYN
Laura Breeze LCSW, Behavioral Health
Edward Pirie DDS, Dental
Theresa Palomeque DDS, Dental
Roger Wray DDS, Dental
Dental Hygienist, Dental
Lab/X-ray
Pharmacy
Not Listed/Unsure
4
Bithlo Providers* This field is required.
Kavitha Rajarathnam MD, Pediatrics
Daniel Pichardo LMHC, Behavioral Health
Robert Schindler OD, Optometry
Makom Powell DMD, Dental
Pharmacy
Lab/X-ray
Not Listed/Unsure
5
Clermont Providers* This field is required.
Jhawnee Arrington APRN, Family Medicine
Lab/X-ray
Not Listed/Unsure
6
Forest City Providers* This field is required.
Maris Cuddeback MD, Family Medicine
Arvin Birrey APRN, Family Medicine
Monica Jenkins APRN, Family Medicine
Amanda McIntosh APRN, Pediatrics
Dana Pryor MD, Pediatrics
May Chen DMD, Dental
Janet McDowell-Travis DDS, Dental
Seth Sloan MD, Behavioral Health
Rani Abraham MD, Behavioral Health
Lab/X-ray
Pharmacy
Not Listed/Unsure
7
Four Corners Providers* This field is required.
Mamatha Sandu MD, Pediatrics
Iris Drane LCSW, Behavioral Health
Seth Sloan MD, Behavioral Health
Mackenzie Weiler OD, Optometry
Marthilde Lambert APRN, Women’s Health/GYN
Lab/X-ray
Pharmacy
Not Listed/Unsure
8
Groveland Providers* This field is required.
Reo Peniston MD, Family Medicine
Shantell Wray PA, Family Medicine
Joanne Robertson APRN, Family Medicine
Connie Ortiz APRN, Pediatrics
Catalin Teodoru DMD, Dental
Luis Estrada DDS, Dental
Dental Hygienist, Dental
Lab/X-ray
Pharmacy
Not Listed/Unsure
9
Lake Ellenor Providers* This field is required.
Lisa Browning DDS, Dental
Dental Hygienist, Dental
Not Listed/Unsure
10
Leesburg Providers* This field is required.
Blandine Pierre MD, Family Medicine
Joan DeRiggs PA, Family Medicine
Connie Williams APRN, Family Medicine
Mary Cisco APRN, Family Medicine
William Franks MD, Pediatrics
Shiela Bahn MD, OB/GYN
Mark Ossi OD, Optometry
Paul Cappel APRN, Behavioral Health
Woowon Choi DMD, Dental
Dental Hygienist Dental
Lab/X-ray
Pharmacy
Not Listed/Unsure
11
Meadow Woods Providers* This field is required.
Patricia DeMello MD, Family Medicine
Radhika Dasaraju MD, Pediatrics
Kelsey Gwin DDS, Dental
Dental Hygienist, Dental
Lab/X-ray
Not Listed/Unsure
12
Pine Hills Providers* This field is required.
Jocelyn Pichardo MD, Family Medicine
Regina Quinain MD, Family Medicine
Sylvicise Caneus APRN, Family Medicine
Michele Wetmore APRN, Family Medicine
Alanna Sedor MD, Pediatrics
Debra Andree MD, Pediatrics
Roshni Patel MD, Pediatrics
Genelle Walters DO, OB/GYN
Marthilde Lambert APRN, OB/GYN
Suzette Boyette APRN, OB/GYN
Toni-Anne Gordon DMD, Dental
Tina Vo DMD, Dental
Dental Hygienist, Dental
Lyne Pierre PMHNP, Behavioral Health
Lab/X-ray
Pharmacy
Not Listed/Unsure
13
Tavares Providers* This field is required.
Carlos Colon MD, Family Medicine
Devadah King APRN, Family Medicine
Joanne Decade MD, Pediatrics
Patricia Gonzalez DMD, Dental
Dental Hygienist, Dental
Lab/X-ray
Pharmacy
Not Listed/Unsure
14
Winter Garden Providers* This field is required.
Saira Khan MD, Family Medicine
Kuchakulla Reddy MD, Family Medicine
Russell Smith PA, Family Medicine
Vinnecia Elliott APRN, Family Medicine
Valerie Rios MD, Pediatrics
Courtney Rozbitsky MD, Pediatrics
Waleska Velez-Leon DMD, Dental
Gregg Stewart DMD, Dental
Dental Hygienist, Dental
Shari Moore DO, Behavioral Health
Randee Poeppelman LCSW, Behavioral Health
Hosam Hassan OD, Optometry
Lab/X-ray
Pharmacy
Not Listed/Unsure
15
West Lakes Providers* This field is required.
Sylvicise Caneus APRN, Family Medicine
Gigi Maniar MD, Pediatrics
Roshni Patel MD, Pediatrics
Iris Drane LCSW, Behavioral Health
Lab/X-ray
Pharmacy
Not Listed/Unsure
16
Is this your first visit at Community Health Centers?
YESNO
17
Clinical team members washed or used hand sanitizer to clean their hands.
YESNO
18
This office has convenient hours.
YESNO
19
I am able to schedule with a CHC provider for routine and sick/urgent appointments.
YESNO
20
Have you contacted our office by phone after we have closed?
YESNO
21
I am able to access my provider or an on-call provider after-hours.
YESNO
22
CHC's sliding discount program makes services more affordable.
YESNO
23
The office was clean.
YESNO
24
I can identify my Provider and Care Team members.
YESNO
25
I understand the benefits of the medical/dental home.
YESNO
26
Your provider included you in decisions about your treatment.
YESNO
27
Your provider listened carefully about your problem/condition.
YESNO
28
Your provider spent enough time with you.
YESNO
29
Your provider was thorough.
YESNO
30
Your provider clearly explained your problem, condition, or results.
YESNO
31
Your provider was polite.
YESNO
32
Your privacy was maintained.
YESNO
33
CHC team members were polite.
YESNO
34
Your Care Team worked with other healthcare providers on your behalf.
YESNO
35
Pharmacy team members were polite.
YESNO
36
I'm pleased with the overall care I received.
YESNO
37
I would recommend this office to others
YESNO
38
Waiting Time and CommentsPlease provide any additional comments about your visit. Do not place any personal information in your comments.
Minutes waiting in lobby
Minutes waiting for provider
Do not place any personal information in your comments.
Should be Empty: