Astia Health Patient Survey

- A score of 9-10 indicates you are highly satisfied and allows Astia to expand services. (Positive for Astia)
- A score of 7-8 indicates overall satisfaction and neither allows nor prevents Astia's ability to expand services. (Neutral for Astia)
- A score between 0-6 indicates dissatisfaction and prevents Astia's ability to expand services. (Negative for Astia)

Question Title

* 1. How likely is it that you would recommend Astia Health to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 2. What changes would Astia Health have to make for you to give it a higher rating?

Question Title

* 3. On a scale of 1 - 5, with 5 indicating 'Very Satisfied' and 1 indicating 'Very Dissatisfied', how satisfied are you with the availability and timeliness of scheduling health appointments with Astia?

5 - Very satisfied

4 - Satisfied

3 - Moderate Satisfaction

2 - Somewhat Dissatisfied

1 - Very Dissatisfied

5 - Very satisfied

4 - Satisfied

3 - Moderate Satisfaction

2 - Somewhat Dissatisfied

1 - Very Dissatisfied

Question Title

* 4. On a scale of 1 - 5, with 5 indicating 'Complete Trust' and 1 indicating 'No Trust at All', which of the following best describes the level of trust you place in Astia Health to handle your health care needs?

5 - Complete trust

4 - High level of trust

3 - Moderate level of trust

2 - Low level of trust

1 - No Trust at All

5 - Complete trust

4 - High level of trust

3 - Moderate level of trust

2 - Low level of trust

1 - No Trust at All

Question Title

* 5. On a scale of 1 - 5, with 5 indicating 'Very Satisfied' and 1 indicating 'Very Dissatisfied', how would you rank the quality-of-care Astia Health has provided you?

5 - Very Satisfied

4 - Satisfied

3 - Moderate Satisfaction

2 - Somewhat Dissatisfied

1 - Very Dissatisfied

5 - Very Satisfied

4 - Satisfied

3 - Moderate Satisfaction

2 - Somewhat Dissatisfied

1 - Very Dissatisfied

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* 6. How has your perception of your employer changed since it partnered with Astia Health?

Better

About the same

Worse

N/A

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* 7. On a scale of 1 - 5, with 5 indicating 'A very Significant Factor and 1 indicating 'Not a Factor at All', how much of a factor does access to Astia's services weigh in your decision to stay with your current employer?

5 - Very Significant Factor

4 - Significant Factor

3 - Moderate Factor

2 - Insignificant Factor

1 - Not a Factor at All

N/A

5 - Very Significant Factor

4 - Significant Factor

3 - Moderate Factor

2 - Insignificant Factor

1 - Not a Factor at All

N/A

Question Title

* 8. On a scale of 1 - 5, with 5 indicating 'A very Significant Factor and 1 indicating 'Not a Factor at All', how much of a factor does Astia's services weigh in your decision to take a job with a new employer?

5 - Very Significant Factor

4 - Significant Factor

3 - Moderate Factor

2 - Insignificant Factor

1 - Not a Factor at All

N/A

5 - Very Significant Factor

4 - Significant Factor

3 - Moderate Factor

2 - Insignificant Factor

1 - Not a Factor at All

N/A