Bexar County Forms

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Employee Health Clinic Survey

  1. We Value Your Opinion!

    We are committed to providing the highest quality of care to each of our patients. Please help us improve our service by completing this survey regarding your recent Employee Health Clinic visit. Thank you!

  2. 00000000
  3. 1. During your most recent visit, did this provider explain things in a way that was easy to understand?*
  4. 2. During your most recent visit, did your provider listen carefully to you?*
  5. 3. Did you talk with this provider about any health questions or concerns?*
  6. (If yes) Did this provider give you easy to understand information about these health questions/concerns?*
  7. 4. Did this provider seem to know the important information about your medical history?*
  8. 5. Did this provider show respect for what you had to say?*
  9. 6. Did this provider spend enough time with you?*
  10. 8. Would you recommend this provider to other County employees?*
  11. (Optional)
  12. If your concerns need immediate attention, please fill out the following and you will be contacted.

  13. Leave This Blank:

  14. This field is not part of the form submission.