2015/16 GHAC CLIENT EXPERIENCE SURVEY: DIABETES MANAGEMENT PROGRAM

QUESTIONS ABOUT YOUR EXPERIENCE

We would like to hear your feedback on the diabetes management program. Please take a moment to complete this survey as honestly as possible. The survey is anonymous and participation will not affect your access to health care in any way. Your feedback is appreciated so we can continue to provide the best quality service to you. Thank you!

Thinking about your past six months from your Diabetes Management Program...

Question Title

* 1. The staff explained things to me in a way that I clearly understood.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 2. I was given choices and involved in deciding how I manage my diabetes.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Question Title

* 3. How have the sessions/classes helped you better manage your diabetes? Check all that apply.

More knowledge of diabetes

More knowledge of medication

Aware of possible health complications

Know which tests I need to do and why

Setting goals for myself

Personal support/encouragement from staff

Improved nutrition/health food choices

Increased physical activity

Spouse/family better able to support me

Increased confidence that I can manage my diabetes

The sessions have not helped me

Other (please specify)

2015/16 GHAC CLIENT EXPERIENCE SURVEY: DIABETES MANAGEMENT PROGRAM

QUESTIONS ABOUT YOUR EXPERIENCE

Question Title

* 1. The staff explained things to me in a way that I clearly understood.

Question Title

* 2. I was given choices and involved in deciding how I manage my diabetes.

Question Title

* 3. How have the sessions/classes helped you better manage your diabetes? Check all that apply.

Question Title

* 4. What would help you become more confident in managing diabetes?

Question Title

* 5. What did you value most about the program?

Question Title

* 6. What could the diabetes education program do better?