Patient Survey

Our goal is to make you well! Please provide feedback to let us know what’s working, and where we can improve. Read the MCHWC Grievance Policy.

This form goes directly to our CEO, JayVon Muhammad. Please share your feedback so that we may make every visit to Marin City Health & Wellness Center, the Bayview Clinic and the Marin Family Birth Center the absolute best it can be.

Patient Survey

Please provide confidential feedback to our CEO about your patient experience.
  • We value ALL feedback. Your contact information will only be used by our CEO so that she may respond personally to your comments.
  • MM slash DD slash YYYY
  • Please let us know the name of the staff or provider who served you so that we may share your confidential feedback.