Let Us Know How We're Doing

We'd like to hear how your recent visit went

Please fill out the survey below. Thank you for taking time to help us improve our services.

Which doctor/provider did you see?

Were you able to schedule your visit as soon as needed? Yes No

If not, please explain why:

How did you schedule your recent appointment? Called Main Number
At Previous Appointment
MyChart

If you called our main phone number, were the representatives: Friendly? Yes No Respectful? Yes No Helpful? Yes No

If not, please explain why:

When you arrived at your appointment, were the front desk staff: Friendly? Yes No Respectful? Yes No Helpful? Yes No

If not, please explain why:

At your appointment, was the nurse or medical assistant: Friendly? Yes No Respectful? Yes No Helpful? Yes No

If not, please explain why:

At your appointment, did your doctor/provider: Explain things in a way that was easy to understand? Yes No Show respect for what you/the patient had to say? Yes No Show friendliness? Yes No

If not, please explain why:

How did you hear about us?

Please share any additional comments or suggestions:

If you would like a manager to contact you, please provide your name and phone number here:

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Media

Services

Pediatrics
Obstetrics & Gynecology
Family Medicine
Internal Medicine
Mental Health
Dental Services
Social Services & Resource Assistance

Locations

Broadway Clinic
Chapel Hill Clinic
Houston St. Clinic
Glenwood Clinic
West Gentry Clinic
Dental Clinic
Athens Clinic
Jacksonville Clinic
Mobile Clinic

Family Circle of Care provides equal employment opportunities without regard to a person’s race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), national origin, disability status, genetics or any other characteristic protected by law.