Brandon, Dauphin & Swan River

Tell us about your recent hospital experience!  Your feedback helps us to improve the way we provide care. 

All responses are confidential and are only reported semi-annually in aggregate form.

Question Title

* Question 1

  Yes No
During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?

Question Title

* Question 2

  Yes No
During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?

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* Question 3

  Always Usually Sometimes Never
Were you involved as much as you wanted to be in decisions about your care and treatment?

Question Title

* Question 4

  Strongly Agree Agree Disagree Strongly Disagree
Overall, I was treated with dignity and respect.

Question Title

* Question 5

  Strongly Agree Agree Disagree Strongly Disagree
Overall, I was satisfied with the quality of care I received.

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* Comments:

For statistical purposes, please provide patient demographic information:
Patient Advisor Volunteers Needed!!  Someone just like you helped to design this survey! 
We want to partner with existing patients or family members who might be interested in helping us review, design or provide feedback to our care, services or buildings.

If you are interested in this, please leave your name, phone number and email address below:

Question Title

* Volunteer Contact Information:

Do you have concerns about your care?  Please forward to:  

Patient Relations:  email  patientrelations@pmh-mb.ca or call  1-800-735-6596

Thank you for your participation!

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