Thank you for participating in our Community Survey.

We are conducting a survey about health care in the communities we serve. Thank you for taking the time to provide us with your feedback. This short survey should take approximately 5 minutes, depending on your responses. Please be assured that your feedback will be kept confidential and will help us shape future consultations, as well as our communication within the communities and hospitals.

If you have any questions about this exercise, please contact publicrelations@haltonhealthcare.com

* 1. In what year were you born? (enter 4-digit birth year; for example, 1976)

* 2. What is your gender?

* 3. What do you see as the top issue in health care today?

* 4. As you may know, Halton Healthcare includes OakvilleTrafalgar Memorial Hospital, Milton District Hospital and Georgetown Hospital. Have you or any family member gone to any of these hospitals in the last year?  If so, which facility?

* 5. When answering the following three questions, please base your response on your perception of each hospital, in addition to any lived, personal experience or experience of a family/friend.

* 6. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Oakville Trafalgar Memorial Hopsital?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible N/A
.

* 7. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Milton District Hospital?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible N/A
.

* 8. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Georgetown Hospital?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible N/A
.

* 9. Have you seen, read or heard anything about Halton Healthcare or its three hospitals in the past 12 months?

* 10. What is the best way to reach you with information about health care in your community?

* 11. Please select the activity that you would be most likely to participate in:

* 12. If you would be interested in attending a health education session hosted by Halton Healthcare, which topics would most interest you?

* 13. Which hospital foundations, if any, have you donated to within the past two years?

* 14. If you would like to receive updates from Halton Healthcare, please provide your email address in the box below:

Page1 / 1
 
100% of survey complete.

T