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Patient Experience Survey
1.
Please identify the location(s) where you have received services from the Thames Valley Family Health Team.
Ailsa Craig - Strathroy Family Health Organization, Ailsa Craig site (147 Ailsa Craig Main Street, Ailsa Craig)
Ilderton - Middlesex Centre Family Medicine Clinic (36 Heritage Drive, Ilderton)
London - Byron Family Medical Centre (1228 Commissioners Road West, London)
London - Forest City Family Health Organization (450 Central Avenue, London)
London - Oxford Medical Centre (Chelsey Park, London)
London - Springbank Medical Centre (460 Springbank Drive, London)
London - St. Joseph's Family Medical Centre (346 Platt's Lane, London)
London - Victoria Family Medical Centre (60 Chesley Avenue, London)
London - West London Family Health Centre (Westmount Mall, London)
London - Westmount Family Physicians (Westmount Mall, London)
Mount Brydges - Southwest Middlesex Health Centre (22262 Mill Road, Mount Brydges)
Parkhill - Strathroy Family Health Organization, Parkhill Medical Clinic (268 Parkhill Main Street, Parkhill)
St. Thomas - Elgin Community Health Hub (230 First Ave., St. Thomas)
St. Thomas - Elmwood Family Health Centre (204 First Avenue, St. Thomas)
St. Thomas - Windemere Family Medical Centre (460 Wellington Street, St. Thomas)
Strathroy - Strathroy Caradoc Family Health Organization (351 Frances Street, Strathroy)
Strathroy - Strathroy Medical Clinic (74 Front Street East, Strathroy)
Strathroy - West Middlesex Health Centre, Strathroy Family Health Organization (278 Metcalfe Street West)
Woodstock (959 Dundas Street, Woodstock)
Unsure
Other (please specify)
2.
Which healthcare provider did you connect with?
Physician
Nurse Practitioner
Mental Health Counsellor
Pharmacist
Registered Nurse/Registered Practical Nurse
Occupational Therapist
Dietitian
Psychologist
Respiratory Therapist
Don't know/Prefer not to say
3.
Approximately how many days did you wait to connect with your healthcare provider?
Same day
Next day
2-19 days
20+ days
Don't know
4.
When you connect with your healthcare provider, do they involve you, as much as you want to be, in decisions about your care and treatment?
Always
Often
Sometimes
Rarely
Never
5.
In your most recent appointment, how did you connect with your provider? (please select all that apply)
In person
Telephone
Videoconference (e.g. OTN e-visit, Facetime, Zoom, Skype, WhatsApp, Google Meet/Hangout, etc.)
Chat/Text Message
Secure Messaging
Email
Other:
6.
Was this your preferred method of contact with your provider for this type of issue?
Yes
No
7.
If no, please select your preferred method(s) of contacting your provider. (please select all that apply)
In person
Telephone
Videoconference (e.g. OTN e-visit, Facetime, Zoom, Skype, WhatsApp, Google Meet/Hangout, etc.)
Chat/Text Message
Secure Messaging
Email
Other:
8.
What options of contact were provided to you when you booked your most recent appointment?
In person
Telephone
Videoconference (e.g. OTN e-visit, Facetime, Zoom, Skype, WhatsApp, Google Meet/Hangout, etc.)
Chat/Text Message
Secure Messaging
Email
Other:
9.
Were there any limitations that prevented you from connecting with your provider? (please select all that apply)
No access to a computer/laptop/tablet
No or unreliable access to internet
No or unreliable access to a phone
Instructions to join virtual visit were unclear
Concerns about privacy and security
More comfortable with in-person visit or health issue required an in-person visit to address
Not comfortable with technology
Other (please specify):
10.
How would you rate your overall experience with the Thames Valley Family Health Team?
Excellent
Very good
Good
Fair
Poor
11.
Do you have any other comments you would like to share?
12.
In addition to patient surveys, TVFHT engages in patient feedback through townhalls, one-on-one touchpoints, and patient co-design efforts. If you are interested in participating in any of these engagement opportunities, please provide your name and preferred contact method (phone or email) in the space below.
(Alternatively, you can also leave a message at 519-473-0530, ext. 123 or email patient.experience@thamesvalleyfht.ca.)
Thank you!
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