Patient Experience Survey 2024-2025 Question Title * 1. Which of the following is your primary care provider? Dr Fournier Dr Gauvin Dr Papineau Dr Shaheen Dr Talbot-Lemaire Mireille Fortin-Ukrainetz, NP Question Title * 2. In the past 12 months, when you see your doctor or nurse practitioner, how often do they or someone else in the office involve you as much as you want to be in decisions about your care and treatment? Never Rarely Sometimes Often Always Not applicable Never Rarely Sometimes Often Always Not applicable Question Title * 3. In the past 12 months, when you consulted an allied health provider at the Nord-Aski Family Health Team, did you feel you were sufficiently involved in the decisions regarding your healthcare? (Nurse, Mental Health Counsellor, Dietitian, Patient Navigator and First Nation Liaison) Never Rarely Sometimes Often Always Not Applicable Never Rarely Sometimes Often Always Not Applicable Question Title * 4. How would you rate the following elements? Poor Fair Good Very Good Excellent Experience before your appointment (reception, wait time in reception or exam room, etc.) Experience before your appointment (reception, wait time in reception or exam room, etc.) Poor Experience before your appointment (reception, wait time in reception or exam room, etc.) Fair Experience before your appointment (reception, wait time in reception or exam room, etc.) Good Experience before your appointment (reception, wait time in reception or exam room, etc.) Very Good Experience before your appointment (reception, wait time in reception or exam room, etc.) Excellent Experience during your appointment (feeling respected, understood, etc.) Experience during your appointment (feeling respected, understood, etc.) Poor Experience during your appointment (feeling respected, understood, etc.) Fair Experience during your appointment (feeling respected, understood, etc.) Good Experience during your appointment (feeling respected, understood, etc.) Very Good Experience during your appointment (feeling respected, understood, etc.) Excellent Experience after your appointment (follow-up, lab results, etc.) Experience after your appointment (follow-up, lab results, etc.) Poor Experience after your appointment (follow-up, lab results, etc.) Fair Experience after your appointment (follow-up, lab results, etc.) Good Experience after your appointment (follow-up, lab results, etc.) Very Good Experience after your appointment (follow-up, lab results, etc.) Excellent Question Title * 5. Please provide any additional comment in the box below: Question Title * 6. I always feel comfortable and welcome at Nord-Aski Family Health Team Yes No Question Title * 7. Overall, how would you rate your experience with our Physician Group or Family Health Team? Very Good Good Fair Poor Very poor Done
