MacMurray Gastroenterology - Patient Feedback Survey

	Yes	No	N/A
I received the patient information in a timely manner.	I received the patient information in a timely manner. Yes	I received the patient information in a timely manner. No	I received the patient information in a timely manner. N/A
The patient information was easy to understand.	The patient information was easy to understand. Yes	The patient information was easy to understand. No	The patient information was easy to understand. N/A
The information was presented clearly.	The information was presented clearly. Yes	The information was presented clearly. No	The information was presented clearly. N/A
The instructions were easy to follow.	The instructions were easy to follow. Yes	The instructions were easy to follow. No	The instructions were easy to follow. N/A
I had to contact the MacMurray Centre for clarification on some points.	I had to contact the MacMurray Centre for clarification on some points. Yes	I had to contact the MacMurray Centre for clarification on some points. No	I had to contact the MacMurray Centre for clarification on some points. N/A

Yes

N/A

I received the patient information in a timely manner.

I received the patient information in a timely manner. Yes

I received the patient information in a timely manner. No

I received the patient information in a timely manner. N/A

The patient information was easy to understand.

The patient information was easy to understand. Yes

The patient information was easy to understand. No

The patient information was easy to understand. N/A

The information was presented clearly.

The information was presented clearly. Yes

The information was presented clearly. No

The information was presented clearly. N/A

The instructions were easy to follow.

The instructions were easy to follow. Yes

The instructions were easy to follow. No

The instructions were easy to follow. N/A

I had to contact the MacMurray Centre for clarification on some points.

I had to contact the MacMurray Centre for clarification on some points. Yes

I had to contact the MacMurray Centre for clarification on some points. No

I had to contact the MacMurray Centre for clarification on some points. N/A

	Yes	No	N/A
The MacMurray Centre was easy to find.	The MacMurray Centre was easy to find. Yes	The MacMurray Centre was easy to find. No	The MacMurray Centre was easy to find. N/A
There was parking available in the carpark.	There was parking available in the carpark. Yes	There was parking available in the carpark. No	There was parking available in the carpark. N/A
The carpark and gardens were neat and tidy.	The carpark and gardens were neat and tidy. Yes	The carpark and gardens were neat and tidy. No	The carpark and gardens were neat and tidy. N/A
Inside was clean and tidy.	Inside was clean and tidy. Yes	Inside was clean and tidy. No	Inside was clean and tidy. N/A
The reception area was comfortable.	The reception area was comfortable. Yes	The reception area was comfortable. No	The reception area was comfortable. N/A
The pre-op room was comfortable.	The pre-op room was comfortable. Yes	The pre-op room was comfortable. No	The pre-op room was comfortable. N/A
The recovery area was comfortable.	The recovery area was comfortable. Yes	The recovery area was comfortable. No	The recovery area was comfortable. N/A

Yes

N/A

The MacMurray Centre was easy to find.

The MacMurray Centre was easy to find. Yes

The MacMurray Centre was easy to find. No

The MacMurray Centre was easy to find. N/A

There was parking available in the carpark.

There was parking available in the carpark. Yes

There was parking available in the carpark. No

There was parking available in the carpark. N/A

The carpark and gardens were neat and tidy.

The carpark and gardens were neat and tidy. Yes

The carpark and gardens were neat and tidy. No

The carpark and gardens were neat and tidy. N/A

Inside was clean and tidy.

Inside was clean and tidy. Yes

Inside was clean and tidy. No

Inside was clean and tidy. N/A

The reception area was comfortable.

The reception area was comfortable. Yes

The reception area was comfortable. No

The reception area was comfortable. N/A

The pre-op room was comfortable.

The pre-op room was comfortable. Yes

The pre-op room was comfortable. No

The pre-op room was comfortable. N/A

The recovery area was comfortable.

The recovery area was comfortable. Yes

The recovery area was comfortable. No

The recovery area was comfortable. N/A

	Yes	No	N/A
I waited for less than 15 minutes before being admitted.	I waited for less than 15 minutes before being admitted. Yes	I waited for less than 15 minutes before being admitted. No	I waited for less than 15 minutes before being admitted. N/A
The nurse introduced theirself and explained that they were taking me through to be admitted.	The nurse introduced theirself and explained that they were taking me through to be admitted. Yes	The nurse introduced theirself and explained that they were taking me through to be admitted. No	The nurse introduced theirself and explained that they were taking me through to be admitted. N/A
I was adequately informed when I signed my consent form.	I was adequately informed when I signed my consent form. Yes	I was adequately informed when I signed my consent form. No	I was adequately informed when I signed my consent form. N/A
I was given the opportunity to ask questions.	I was given the opportunity to ask questions. Yes	I was given the opportunity to ask questions. No	I was given the opportunity to ask questions. N/A
I was given clear instructions when asked to get changed.	I was given clear instructions when asked to get changed. Yes	I was given clear instructions when asked to get changed. No	I was given clear instructions when asked to get changed. N/A
I felt put at ease.	I felt put at ease. Yes	I felt put at ease. No	I felt put at ease. N/A

Yes

N/A

I waited for less than 15 minutes before being admitted.

I waited for less than 15 minutes before being admitted. Yes

I waited for less than 15 minutes before being admitted. No

I waited for less than 15 minutes before being admitted. N/A

The nurse introduced theirself and explained that they were taking me through to be admitted.

The nurse introduced theirself and explained that they were taking me through to be admitted. Yes

The nurse introduced theirself and explained that they were taking me through to be admitted. No

The nurse introduced theirself and explained that they were taking me through to be admitted. N/A

I was adequately informed when I signed my consent form.

I was adequately informed when I signed my consent form. Yes

I was adequately informed when I signed my consent form. No

I was adequately informed when I signed my consent form. N/A

I was given the opportunity to ask questions.

I was given the opportunity to ask questions. Yes

I was given the opportunity to ask questions. No

I was given the opportunity to ask questions. N/A

I was given clear instructions when asked to get changed.

I was given clear instructions when asked to get changed. Yes

I was given clear instructions when asked to get changed. No

I was given clear instructions when asked to get changed. N/A

I felt put at ease.

I felt put at ease. Yes

I felt put at ease. No

I felt put at ease. N/A

	Yes	No	N/A
I was introduced to all of the people in the theater.	I was introduced to all of the people in the theater. Yes	I was introduced to all of the people in the theater. No	I was introduced to all of the people in the theater. N/A
I was adequately sedated.	I was adequately sedated. Yes	I was adequately sedated. No	I was adequately sedated. N/A
I was comfortable throughout the procedure.	I was comfortable throughout the procedure. Yes	I was comfortable throughout the procedure. No	I was comfortable throughout the procedure. N/A
If you did experience discomfort, was this addressed by the nurses at the time?	If you did experience discomfort, was this addressed by the nurses at the time? Yes	If you did experience discomfort, was this addressed by the nurses at the time? No	If you did experience discomfort, was this addressed by the nurses at the time? N/A
Did you feel you were treated with respect and dignity?	Did you feel you were treated with respect and dignity? Yes	Did you feel you were treated with respect and dignity? No	Did you feel you were treated with respect and dignity? N/A

Yes

N/A

I was introduced to all of the people in the theater.

I was introduced to all of the people in the theater. Yes

I was introduced to all of the people in the theater. No

I was introduced to all of the people in the theater. N/A

I was adequately sedated.

I was adequately sedated. Yes

I was adequately sedated. No

I was adequately sedated. N/A

I was comfortable throughout the procedure.

I was comfortable throughout the procedure. Yes

I was comfortable throughout the procedure. No

I was comfortable throughout the procedure. N/A

If you did experience discomfort, was this addressed by the nurses at the time?

If you did experience discomfort, was this addressed by the nurses at the time? Yes

If you did experience discomfort, was this addressed by the nurses at the time? No

If you did experience discomfort, was this addressed by the nurses at the time? N/A

Did you feel you were treated with respect and dignity?

Did you feel you were treated with respect and dignity? Yes

Did you feel you were treated with respect and dignity? No

Did you feel you were treated with respect and dignity? N/A

	Yes	No	N/A
Did you find the recovery bed comfortable?	Did you find the recovery bed comfortable? Yes	Did you find the recovery bed comfortable? No	Did you find the recovery bed comfortable? N/A
Were you given adequate time to rest?	Were you given adequate time to rest? Yes	Were you given adequate time to rest? No	Were you given adequate time to rest? N/A
Were you offered something to eat and drink?	Were you offered something to eat and drink? Yes	Were you offered something to eat and drink? No	Were you offered something to eat and drink? N/A
Did the Doctor talk to you about your procedure?	Did the Doctor talk to you about your procedure? Yes	Did the Doctor talk to you about your procedure? No	Did the Doctor talk to you about your procedure? N/A
Were any questions you had answered at the time?	Were any questions you had answered at the time? Yes	Were any questions you had answered at the time? No	Were any questions you had answered at the time? N/A
Were you given a copy of your endoscopy report?	Were you given a copy of your endoscopy report? Yes	Were you given a copy of your endoscopy report? No	Were you given a copy of your endoscopy report? N/A
Were you informed of your follow up process?	Were you informed of your follow up process? Yes	Were you informed of your follow up process? No	Were you informed of your follow up process? N/A

Yes

N/A

Did you find the recovery bed comfortable?

Did you find the recovery bed comfortable? Yes

Did you find the recovery bed comfortable? No

Did you find the recovery bed comfortable? N/A

Were you given adequate time to rest?

Were you given adequate time to rest? Yes

Were you given adequate time to rest? No

Were you given adequate time to rest? N/A

Were you offered something to eat and drink?

Were you offered something to eat and drink? Yes

Were you offered something to eat and drink? No

Were you offered something to eat and drink? N/A

Did the Doctor talk to you about your procedure?

Did the Doctor talk to you about your procedure? Yes

Did the Doctor talk to you about your procedure? No

Did the Doctor talk to you about your procedure? N/A

Were any questions you had answered at the time?

Were any questions you had answered at the time? Yes

Were any questions you had answered at the time? No

Were any questions you had answered at the time? N/A

Were you given a copy of your endoscopy report?

Were you given a copy of your endoscopy report? Yes

Were you given a copy of your endoscopy report? No

Were you given a copy of your endoscopy report? N/A

Were you informed of your follow up process?

Were you informed of your follow up process? Yes

Were you informed of your follow up process? No

Were you informed of your follow up process? N/A

	Perfect	Good	Okay	Bad	N/A
How did you find the overall service given to you by reception staff?	How did you find the overall service given to you by reception staff? Perfect	How did you find the overall service given to you by reception staff? Good	How did you find the overall service given to you by reception staff? Okay	How did you find the overall service given to you by reception staff? Bad	How did you find the overall service given to you by reception staff? N/A
Other (please specify)
How did you find the overall service given to you by the nurses?	How did you find the overall service given to you by the nurses? Perfect	How did you find the overall service given to you by the nurses? Good	How did you find the overall service given to you by the nurses? Okay	How did you find the overall service given to you by the nurses? Bad	How did you find the overall service given to you by the nurses? N/A
Other (please specify)
How did you find the overall service from your Doctor?	How did you find the overall service from your Doctor? Perfect	How did you find the overall service from your Doctor? Good	How did you find the overall service from your Doctor? Okay	How did you find the overall service from your Doctor? Bad	How did you find the overall service from your Doctor? N/A
Other (please specify)

Perfect

Good

Okay

Bad

N/A

How did you find the overall service given to you by reception staff?

How did you find the overall service given to you by reception staff? Perfect

How did you find the overall service given to you by reception staff? Good

How did you find the overall service given to you by reception staff? Okay

How did you find the overall service given to you by reception staff? Bad

How did you find the overall service given to you by reception staff? N/A

Other (please specify)

How did you find the overall service given to you by the nurses?

How did you find the overall service given to you by the nurses? Perfect

How did you find the overall service given to you by the nurses? Good

How did you find the overall service given to you by the nurses? Okay

How did you find the overall service given to you by the nurses? Bad

How did you find the overall service given to you by the nurses? N/A

Other (please specify)

How did you find the overall service from your Doctor?

How did you find the overall service from your Doctor? Perfect

How did you find the overall service from your Doctor? Good

How did you find the overall service from your Doctor? Okay

How did you find the overall service from your Doctor? Bad

How did you find the overall service from your Doctor? N/A

Other (please specify)

* 7. Cultural Needs

	Yes	No	N/A
My cultural needs were respected by the staff.	My cultural needs were respected by the staff. Yes	My cultural needs were respected by the staff. No	My cultural needs were respected by the staff. N/A
Further Comments:

MacMurray Gastroenterology - Patient Feedback

Thank you for taking the time to provide us with your feedback.

We use your feedback to help us constantly improve our services.

* 1. Patient information

* 2. Facilities

* 3. The admitting process

* 4. The procedure

* 5. Recovery

* 6. Staff

* 7. Cultural Needs

* 8. Is there anything else that you would like to add that will help us improve our service?