create a five-question quantitative survey and survey 5-8 people anonymously based on the five medical home functions


For this assignment, you will create a five-question quantitative survey and survey 5-8 people anonymously. Your questions should be created based on the five medical home functions and attributes presented in the Module 3 Background.

In addition, the survey questions should be indirectly or directly related to quality. See below for an example question:

Patient-Centered Care is defined as the care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. Based on this definition, of your four most recent visits to a health care organization/facility, how many were patient-centered?

1. One

2. Two

3. Three

4. Four

5. Not able to identify

Note: If you use the example question as a survey question in your survey, you must have a total of 6 questions, instead of 5.)

Use Survey Monkey (

Caldas de Almeida, J. M. (2015). Mental health services and public mental health: challenges and opportunities. World Psychiatry, 14(1), 51–53.

Daaleman, T. P. & Fisher, E. B. (2015). Enriching patient-centered medical homes through peer support. Annals of Family Medicine, 13(Suppl 1), S73–S78

Bleser, W. K., Miller-Day, M., Naughton, D., Bricker, P.L., Cronholm, P.F., Gabbay, R. A. (2014). Strategies for achieving whole-practice engagement and buy-in to the patient-centered medical home. The Annals of Family Medicine. 12(1), 37-45.

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