Thank you for taking the time to complete the 2021-22 patient/client satisfaction survey. Your responses will help the Grand Bend Area Community Health Centre reflect on practices and deliver excellent and relevant care and services.

If you have feedback on a specific incident or issue, or you wish to register a complaint, please complete the form on our Client Relations webpage.

Your voluntary survey responses are anonymous and confidential. Please do not include any personal health or identifying information in your responses.

All survey questions are voluntary. If a question does not apply to you, please leave it blank.

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* 1. Select your postal code.

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* 2. Select your gender identity.

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* 3. Select your age.

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* 4. What type of appointment was your most recent appointment?

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* 5. Thinking of your most recent appointment or visit, please rate the following.

  Poor Fair Good Very Good Excellent N/A
Overall experience accessing the appointment (virtual or in-person)
Overall cleanliness of the GBACHC
Length of time spent in the waiting area
Overall experience with reception staff
Length of time spent in the examination room before being seen by a health care provider
Overall sense of feeling welcomed and safe at the GBACHC

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* 6. Thinking of a recent virtual (phone or internet) appointment, please rate the following.

  Poor Fair Good Very Good Excellent N/A
Sound quality
Video quality
Technical assistance (if needed)

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* 7. Thinking of a recent virtual (phone or internet) appointment, please rate your agreement with the following.

  Strongly Disagree Disagree Neutral Agree Strongly Agree N/A
I felt comfortable and safe having a virtual appointment
Having a virtual appointment was more convenient
Having a virtual appointment saved me time and/or money
I would recommend a virtual appointment to a friend

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* 8. If you have received health care by virtual appointment, would you be interested in receiving some aspects of your care virtually when the pandemic ends?

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* 9. If you have participated virtually in a program, would you be interested in participating this way when the pandemic ends?

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* 10. Thinking about the health care provider at your most recent appointment, please rate the following.

  Poor Fair Good Very Good Excellent N/A
Knew my medical history
Listened to my concerns and answered questions to my satisfaction
Was sensitive to my needs, preferences and cultural values
Treated me with respect and dignity
Addressed my fears and anxieties
Respected my privacy and confidentiality
Involved me in decisions about my care and treatment
Gave clear instructions and recommendations about what to do following the appointment
Overall confidence in the health care provider
Overall appointment experience

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* 11. The last time you were sick or concerned about your health, did you get an appointment in a timely manner?

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* 12. The last time you needed urgent care, how many days did it take from appointment request to the appointment day?

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* 13. About how many times have you had an primary care appointment at the Grand Bend Area Community Health Centre in the past year?

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* 14. In the past year, with which health care provider(s) or program did you have an appointment(s) or session? (Select all that apply.)

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* 15. How do you rate the following for yourself?

  Poor Fair Good Very Good Excellent
Overall physical health
Overall mental health

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* 16. How do you describe your current stress level?

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* 17. What factors affect your stress level?

  None at all A little A moderate amount A lot A great deal
Lack of time
Too many commitments or responsibilities
Managing my health
Being a caregiver to a dependent
Finances
Relationships
Transportation
Work
Lack of work
COVID-19 pandemic
Lack of social support
Lack of housing
Childcare
Access to food
Lack of health benefit coverage

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* 18. How do you describe your sense of belonging or being connected to your community?

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* 19. Select your level of agreement with the following statements.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
I am content with my friendships and relationships.
I have enough people I feel comfortable with to ask for help any time.

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* 20. Do you feel uncomfortable or out of place in your community?

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* 21. Thinking about a time that you may have felt uncomfortable or out of place in your community, what factors affected your sense of belonging?

  None at all A little A moderate amount A lot A great deal
Health condition
Age
Social class
Physical disability
Weight
Culture and/or ethnicity
Religion
Gender identity and/or sexual orientation
Mental health
Pandemic restrictions
COVID-19 vaccination status

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* 22. Rate the levels to which the following barriers affect your access to Grand Bend Area Community Health Centre services.

  Never Rarely Sometimes Often Always
Transportation
Childcare
Dependent care
Pandemic restrictions
Internet access
Navigating computer programs

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* 23. How did you learn about the Grand Bend Area Community Health Centre's programs and services? (Select all that apply.)

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* 24. In the past year, have you done any of the following as a result of a program or service received at the Grand Bend Area Community Health Centre? (Select all that apply.)

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* 25. List two or more things the Grand Bend Area Community Health Centre is doing well.

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* 26. List two or more things that need improvement at the Grand Bend Area Community Health Centre.

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* 27. Please include your contact information if you are interested in serving on the Community Advisory Council. The council makes recommendations to the GBACHC on matters affecting patients/clients and program participants.

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