Points North Patient Satisfaction Survey
Your responses are confidential. We appreciate your patient experience feedback, aimed at improving our services for our patients.
1.
I am here today to see the following health care provider (check all that apply)
Doctor
Nurse Practitioner
Social Worker
Registered Nurse
Other (please specify)
2.
When you see a Doctor or Nurse Practitioner, how often do they involve you as much as you want to be in the decisions about your care and treatment?
Always
Often
Sometimes
Rarely
Never
3.
When you see your Doctor or Nurse Practitioner, how often do they give you an opportunity to ask questions about the recommended treatment?
Always
Often
Sometimes
Rarely
Never
4.
When you see your Doctor or Nurse Practitioner, how often do they spend enough time with you?
Always
Often
Sometimes
Rarely
Never
5.
When the last time you were sick or had a health problem, you got an appointment on the date you wanted.
Yes
No
6.
Do you feel comfortable and welcome at Points North Family Health Team?
Yes
No
Comment (s)
7.
Overall, how satisfied were you with your health care experience at the Points North FHT on your most recent visit?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
8.
Are you aware of the other health care services that are offered at this clinic? (For example: bloodwork, lung health, heart health, diabetes, wound care, mental health services, cancer care, smoking cessation etc.)
Yes, I am aware of the services offered at Points North FHT
No, I am not aware of the services offered at Points North FHT
9.
Overall, how satisfied were you with the other health care services provided at the Points North FHT? (For example: bloodwork, lung health, heart health, diabetes, wound care, mental health services, cancer care, smoking cessation etc.)
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
10.
Are there any programs or health care services that you would like available in the community out side of the Points North FHT/ Clinic physical location?
11.
Do you have any suggestions as to how we can improve our services? Include any additional comments you wish to share with our team.
