Grey-Bruce Ontario Health Team Patient Experience Survey

The Grey-Bruce Ontario Health Team is dedicated to improving patient experiences within our healthcare system.

This short survey aims to gather insights from patients, family members, and caregivers based on their direct, firsthand experiences.

This survey can be completed by a patient, family member or caregiver.

Your responses to this survey are completely anonymous. No identifying information will be collected or shared.

If you’d like to stay informed about the development of new programs, materials, and updates, you can subscribe to our newsletter at the end of this survey to stay connected and see how your feedback makes a difference.

To learn more about the Grey-Bruce Ontario Health Team, visit our website: www.greybruceoht.ca

Question Title

* 1. I am a:

Caregiver

Patient

Family Member

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* 2. I am filling out this survey on behalf of:

Myself

Someone else

If you are completing this survey on behalf of someone else, please ensure that all responses reflect the experiences and perspectives of that person.

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* 3. Age Range:

0 to 15

16 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 or over

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* 4. Distance to your Primary Care Provider:

Less than 50 kilometers

50 to 100 kilometers

101 to 150 kilometers

151 to 200 kilometers

Greater than 200 kilometers

I don't know/Not applicable

I do not have a primary care provider

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* 5. Distance to your 24/7 Emergency Department with Inpatient Beds:

Less than 50 kilometers

50 to 100 kilometers

101 to 150 kilometers

151 to 200 kilometers

Greater than 200 kilometers

I don't know/Not applicable

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* 6. Distance to your specialist and/or diagnostic imaging:

Less than 50 kilometers

50 to 100 kilometers

101 to 150 kilometers

151 to 200 kilometers

Greater than 200 kilometers

I don't know/Not applicable

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* 7. I feel I have the knowledge of who to contact about questions or concerns pertaining to my care or the care of loved ones.

Strongly agree

Agree

Disagree

Strongly disagree

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* 8. When I have reached out with questions or concerns pertaining to care needs I have received a timely and appropriate response.

Strongly agree

Agree

Disagree

Strongly disagree

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* 9. Equity: the practice of ensuring fairness to achieve equal outcomes or access. Recognizing that different individuals and groups may require different resources, opportunities, or support

I feel I have been treated equitably in my interactions with health care providers.

Strongly agree

Agree

Disagree

Strongly disagree

To help us better understand your experience, please rate the following items based on the provided scale. As you consider your responses, keep the following key aspects in mind:

Accessibility: How easy was it to access or use the service?
Quality: How well did the service meet your expectations?
Timeliness: Was the service provided within a reasonable timeframe?

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* 10. Please rate the following areas of healthcare on a scale from one to five, or not applicable, using the descriptors provided below.

	1 - Unacceptable	2 - Poor	3 - Fair	4 - Good	5 - Excellent	Not applicable
Home Care	Home Care 1 - Unacceptable	Home Care 2 - Poor	Home Care 3 - Fair	Home Care 4 - Good	Home Care 5 - Excellent	Home Care Not applicable
Primary Care	Primary Care 1 - Unacceptable	Primary Care 2 - Poor	Primary Care 3 - Fair	Primary Care 4 - Good	Primary Care 5 - Excellent	Primary Care Not applicable
Specialist Care	Specialist Care 1 - Unacceptable	Specialist Care 2 - Poor	Specialist Care 3 - Fair	Specialist Care 4 - Good	Specialist Care 5 - Excellent	Specialist Care Not applicable
Diagnostic Imaging and Testing	Diagnostic Imaging and Testing 1 - Unacceptable	Diagnostic Imaging and Testing 2 - Poor	Diagnostic Imaging and Testing 3 - Fair	Diagnostic Imaging and Testing 4 - Good	Diagnostic Imaging and Testing 5 - Excellent	Diagnostic Imaging and Testing Not applicable
Emergency Care (Emergency Department)	Emergency Care (Emergency Department) 1 - Unacceptable	Emergency Care (Emergency Department) 2 - Poor	Emergency Care (Emergency Department) 3 - Fair	Emergency Care (Emergency Department) 4 - Good	Emergency Care (Emergency Department) 5 - Excellent	Emergency Care (Emergency Department) Not applicable
Mental Health and Addictions	Mental Health and Addictions 1 - Unacceptable	Mental Health and Addictions 2 - Poor	Mental Health and Addictions 3 - Fair	Mental Health and Addictions 4 - Good	Mental Health and Addictions 5 - Excellent	Mental Health and Addictions Not applicable
Allied Health (Physiotherapy, Occupational Therapy, etc.)	Allied Health (Physiotherapy, Occupational Therapy, etc.) 1 - Unacceptable	Allied Health (Physiotherapy, Occupational Therapy, etc.) 2 - Poor	Allied Health (Physiotherapy, Occupational Therapy, etc.) 3 - Fair	Allied Health (Physiotherapy, Occupational Therapy, etc.) 4 - Good	Allied Health (Physiotherapy, Occupational Therapy, etc.) 5 - Excellent	Allied Health (Physiotherapy, Occupational Therapy, etc.) Not applicable

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* 11. Is there anything else you would like to share about your healthcare experience?

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Grey-Bruce Ontario Health Team Patient Experience Survey

Question Title

* 1. I am a:

Question Title

* 2. I am filling out this survey on behalf of:

Question Title

* 3. Age Range:

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* 4. Distance to your Primary Care Provider:

Question Title

* 5. Distance to your 24/7 Emergency Department with Inpatient Beds:

Question Title

* 6. Distance to your specialist and/or diagnostic imaging:

Question Title

* 7. I feel I have the knowledge of who to contact about questions or concerns pertaining to my care or the care of loved ones.

Question Title

* 8. When I have reached out with questions or concerns pertaining to care needs I have received a timely and appropriate response.

Question Title

* 9. Equity: the practice of ensuring fairness to achieve equal outcomes or access. Recognizing that different individuals and groups may require different resources, opportunities, or support I feel I have been treated equitably in my interactions with health care providers.

Question Title

* 10. Please rate the following areas of healthcare on a scale from one to five, or not applicable, using the descriptors provided below.

Question Title

* 11. Is there anything else you would like to share about your healthcare experience?

* 9. Equity: the practice of ensuring fairness to achieve equal outcomes or access. Recognizing that different individuals and groups may require different resources, opportunities, or support

I feel I have been treated equitably in my interactions with health care providers.