Patient-Provider Fit & Care Preference Assessment

Welcome and thank you for participating in this survey about your healthcare experiences. This survey explores how well your healthcare provider fits your needs and what matters most to you when choosing providers. It takes approximately 12 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate. By continuing, you consent to participate.

Have you seen a healthcare provider for your own care in the past 6 months?

• Yes
• No

What type of healthcare provider did you most recently see?

• Primary care physician
• Specialist
• Mental health professional
• OB/GYN
• Urgent care or retail clinic
• Telehealth clinician
• Other (please specify)
• Prefer not to say

Overall, how well did this provider fit your healthcare needs?

Please rank the following factors by how important they are to you when choosing a healthcare provider, from most to least important.

1. Clinical expertise in my condition
2. Communication style
3. Cultural understanding
4. Location or convenience
5. Appointment availability
6. Cost transparency
7. Provider gender

What, if anything, would have improved the fit between you and this provider?

What is your age?

• 18–24
• 25–34
• 35–44
• 45–54
• 55–64
• 65 or older
• Prefer not to say

Thank you for completing this survey. Your responses will help improve how patients are matched with healthcare providers. If you have any questions about this research, please contact the study team at the email provided in your invitation.

Which of the following reasons apply to why you have not seen a provider? Select all that apply.

• Could not get an appointment
• No need for care
• Cost or coverage concerns
• Transportation or distance
• Unsure where to go
• Other (please specify)
• Prefer not to say

How did you choose this provider? Select all that apply.

• Referred by another clinician
• Chose from insurance network list
• Friend or family recommendation
• Online reviews or search
• Assigned by clinic or insurer
• I already knew this provider
• Other (please specify)

How easy was it to get an appointment that met your scheduling needs?

How would you most prefer to search for a well-matched provider?

• Insurance directory with filters
• Independent review site
• Clinician referral
• Community organization recommendations
• Personalized matching app or tool
• Other (please specify)

Based on your earlier responses, we'd like to explore your patient–provider fit experiences in a bit more depth. Please share your thoughts, and our moderator will ask a couple of follow-up questions.

Which gender best describes you?

• Woman
• Man
• Non-binary
• Prefer to self-describe
• Prefer not to say

In the past 6 months, approximately how many visits did you have with this provider?

• 1
• 2
• 3–4
• 5–6
• 7 or more
• Unsure

This provider listened carefully to my concerns.

How confident are you that you could find a well-matched provider if you needed one?

What is your highest level of education?

• Less than high school
• High school or equivalent
• Some college
• Associate degree
• Bachelor's degree
• Graduate or professional degree
• Prefer not to say

This provider explained things in a way I could understand.

How do you primarily pay for healthcare?

• Employer-sponsored insurance
• Individual or marketplace plan
• Medicare
• Medicaid or public program
• Military/VA
• Uninsured or self-pay
• Prefer not to say

This provider involved me in decisions about my care.

What is your preferred language for receiving healthcare?

• English
• Spanish
• Chinese (Mandarin or Cantonese)
• Vietnamese
• Tagalog
• Arabic
• French
• Korean
• Another language
• Prefer not to say

This provider showed respect for my background and preferences.

In which region do you usually receive healthcare?

• U.S. — Northeast
• U.S. — Southeast
• U.S. — Midwest
• U.S. — Southwest
• U.S. — West
• U.S. — Pacific (HI, AK)
• Canada
• United Kingdom
• European Union
• Other
• Prefer not to say

Which of the following, if any, were areas of mismatch with this provider? Select all that apply.

• Clinical approach not aligned with my preferences
• Limited appointment times
• Communication style didn't suit me
• Language barrier
• Cultural sensitivity lacking
• Location or travel inconvenient
• Insurance or billing issues
• Provider gender preference not met
• Costs higher than expected
• No mismatches
• Other (please specify)

Do you plan to continue seeing this provider for similar healthcare needs?

• Yes
• No, I plan to switch
• Unsure