Abstract: To measure the people knowledge about PHCC services & the satisfaction of people about PHCC services. A cross-sectional study done with simple random sampling technique the data has been collected by distributing an Arabic language questionnaire to users who had utilized health services provided by the primary health care centers in the following cities Buraydah, Onizah and Albukairiah in Al- Qassim reigon. A total number of 384 participants were enrolled in this study. The data was collected over a 3 months period (December 2014 to February 2015). Of 500 questionnaires distributed 384 (76.8% response rate) were collected and analyzed. Findings from the study showed that 297 (77.3%) of the subjects knew the difference between PHCC and hospitals, and 295 (76.8 %) knew the role of PHCC in immunizations. Less than half of the respondents 173 (45.1%) knew the role of PHCC in follow-up of chronic diseases. The overall reported satisfaction score was 50% of the participants were unsatisfied with the services .The study has concluded that the responder’s knowledge is sufficient about the PHCC services. On the other hand, the study showed that most of the responders were unsatisfied toward the PHCC services. Factors causing poor satisfaction were attributed to lack of qualified staff & adequate supervision.