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.

Where did you receive care?

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Where did you receive care?

Date of Visit:

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Date of Visit:

Date / Time
How did you submit this survey?

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How did you submit this survey?

Gender:

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Gender:

Please indicate your age range:

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Please indicate your age range:

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

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

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

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

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

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

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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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?

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

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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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