Welcome to the BRANT COMMUNITY HEALTHCARE SYSTEM Patient Experience Survey for Outpatients.

Your feedback helps us to know what we need to improve on and we appreciate your participation.

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Where did you receive care?

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Date of Visit:

Date / Time

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How did you submit this survey?

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Gender:

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Please indicate your age range:

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1.  During this hospital visit, how often did your healthcare provider treat you with courtesy and respect?

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2.  Would you recommend this hospital to your friends and family?

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3.  Overall, how would you rate the quality of care and services you received at our hospital?

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4.  Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after your visit?

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5.  During this hospital visit, did your healthcare provider include you in conversation about your condition and treatment?

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