Your responses to the questions on this survey will help us to improve the care we provide.  
Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential.

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1. Physician's Name

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2. What is your age?

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3. What is your gender?

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4. 1.     When booking your last appointment for an URGENT MEDICAL ISSUE, how many days did it take from when you first tried to see your doctor, physician assistant, or nurse practitioner to when you actually saw him/her or someone else in their office?

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5. When you see your doctor, physician assistant, or nurse practitioner how often do they or someone else in the office involve you as much as you want in decisions about your care?

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6. Are you aware that we offer after hours care for our patients on evenings and Saturdays?

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7. Have you used the after hours clinic in your doctors office in the last year?

For information on how to access after-hours care please call your doctor’s office.

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8. Have you used any of the following services in the last year? Check all that apply.


Please call your doctor’s office ASAP or WITHIN 3 days after an ER visit or hospital discharge to book a follow-up appointment

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9.  What was the main reason for going to a walk-in clinic or hospital emergency department?

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10. How many times have you visited the DAFHT website www.dafht.ca in the past year?     

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11. If you have visited our website in the past year, which pages did you go to? Check all that apply.

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12. Do you have any additional comments that you would like to share with us?

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