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* 1. Please identify the location(s) where you have received services from the Thames Valley Family Health Team.

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* 2. Which healthcare provider did you connect with?

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* 3. Approximately how many days did you wait to connect with your healthcare provider?

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* 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?

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* 5. In your most recent appointment, how did you connect with your provider? (please select all that apply)

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* 6. Was this your preferred method of contact with your provider for this type of issue?

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* 7. If no, please select your preferred method(s) of contacting your provider (please select all that apply).

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* 8. What options of contact were provided to you when you booked your most recent appointment?

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* 9. Were there any limitations that prevented you from connecting with your provider? (Please select all that apply)

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* 10. How would you rate your overall experience with the Thames Valley Family Health Team?

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* 11. Do you have any other comments you would like to share?

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