Questionnaire

Frames of Care is an initiative dedicated to understanding healthcare experiences through community voices, visual storytelling, and meaningful conversations. By sharing real observations and perspectives, I hope to encourage awareness, empathy, and positive change in healthcare environments.

Healthcare Experience Survey

What is your full name?

What email can we use if follow-up is needed?

How often do you or your family visit healthcare facilities?

What type of healthcare facility have you visited most recently? (Select all that apply)

How far do you typically travel to receive healthcare?

Does transportation ever make it difficult to access healthcare?

Overall, how would you rate your healthcare experience?

What was the biggest challenge you experienced during your visit? (Select all that apply)

How long did you typically wait before being seen?

Did you feel listened to and respected by healthcare staff?

Was the healthcare facility clean and well maintained?

Did you notice any accessibility challenges?

How easy was it to get the care or information you needed?

Did you feel safe and comfortable during your visit?

What improvements would make healthcare experiences better for people in your community?

Have you ever witnessed a healthcare issue that you believe should receive more attention?

How important do you think patient experience is in healthcare?

Please review your responses before submitting

Thank you for sharing your experience