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We Want to Hear from You!
Community Health Center of Franklin County
Website Survey
Your answers are important to us! Please complete all the required questions and then click the
Submit button
at the bottom.
1. Tell us About You
*
Indicates required field
Describe your relationship to CHCFC
*
Patient
Staff Member
Board Member
Collaborating Agency
Non-patient Community Member
Other
If Other please specify
*
If you are a patient of ours, which practice do you belong to? (Check all that apply)
*
Medical (Adult & Pediatrics)
Dental
Nutriton
Age Range
*
0-17
18-39
40-64
65+
Prefer not to answer
How did you hear about CHCFC? (Check all that apply)
*
Community Event
TV/Radio
Newspaper
Friend or Family
Agency Referral
Other
If Other please specify:
*
2. Tell us About our New Website
Why did you visit our website?
*
What kind of device are you viewing our website on?
*
Computer
Smartphone
Tablet
Other
if Other please specifiy
*
How easy is it to navigate our new website
*
Extremely easy
Very easy
Somewhat easy
Not at all easy
How clear is the information found on our website
*
Extremely clear
Very clear
Somewhat clear
Not clear at all
Did it take you more of less time than you expected to find what you were looking for on our website
*
A lot less time
A little less time
About what I expected
A little more time
A lot more time
How would you rate the look and feel of our website?
*
I love it!
I really like the new look
I somewhat like the new look
No opinion
I dislike the new look
I hate the new look
We want to provide you with the best online service we can.
Tell us any comments, suggestions, ideas, or issues you had with our website.
Please do not include any personal clinical information.
Thank you!
We look foward to hearing your responses
*
Submit
Home
About Us
Our Staff
>
Providers
Grants & Funding
Press Releases & News
Services
Becoming a New Patient
Medical Practice
>
CHW News Blog
Nutrition Blog
Dental Practice
Insurance & Payment
Office Locations
Greenfield
Orange
Turners Falls
Urgent Dental Clinic
Patient Resources
Patient Forms
Helpful Links
Special Programs & Featured Flyers
Careers
Contact Us
Patient Portal
How to use the Patient Portal
✕