Thank you for visiting Medical Associates of Port Perry!

To help us deliver high quality patient-centred services, we would appreciate feedback about your most recent visit. It should take about two minutes to complete. It is not necessary to include your name as all surveys are 100% confidential.

Thank you for your feedback!

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* 1. Thinking about the visit you just had, what was the reason for your visit?

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* 2. How was the appointment for this visit made?

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* 3. Thinking about the visit you just had, on a scale of poor to excellent, how would you rate the following?

  Poor Good Excellent
The length of time it took between making your appointment and the visit you just had.
The hours that we are open.

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* 4. The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor to when you actually SAW him/her or someone else in their office?

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* 5. Thinking about the visit you just had …
How long did you wait in the reception area past your appointment time?

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* 6. On a scale of poor to excellent, how would you rate the following?

  Poor Good Excellent
The helpfulness of the receptionist
Your overall experience speaking with the receptionist

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* 7. Thinking about who you spoke with during your visit, on a scale of always to never, how would you rate your experience?

  Always Often Sometimes Rarely Never Not Applicable (Don't know/refused)
Listened to your concerns
Spent enough time with you
Explained things in a way that was easy to understand
Was sensitive to your needs and preferences
Involved you to the extent you wanted to be in decisions about your care & treatment
Encouraged you to ask questions
 Gave clear instructions about what you need to do after your visit is over
Your overall experience speaking with the health care provider about the reason for your visit

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* 8. Thinking of your overall experience with the visit you just had, what are two things that were done particularly well?

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* 9. Thinking of your overall experience with the visit you just had, what are two things that could be improved?

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