We would like your feedback on your recent virtual mental health and/or addiction appointment (the clinical appointment using phone or video conference). This feedback will help us improve the quality of virtual services at our organization and will also ensure that our services are available to as many clients as possible. Please answer the following questions about your experience. Completion of the survey is voluntary. Your responses are anonymous and are not connected to your clinical record at Addiction Services of Thames Valley. 

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* 2. Is this your first virtual mental health and/or addiction appointment?

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* 3. Is this your first virtual mental health and/or addiction appointment with this service provider?

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* 6. Please provide the first three digits of your postal code (example: N6C)

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* 7. Were you born in Canada?

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* 9. Do you have any of the following? Check ALL that apply:

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* 10. Have you been hospitalized for a mental health and/or addiction issue in the last year?

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* 11. Where did you access the virtual (phone or video conference) mental health and/or addiction appointment from?

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* 12. What virtual platform did you use for your mental health and/or addiction appointment? Check all that apply

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* 13. What type of device did you use to access the virtual mental health and/or addiction appointment?

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* 14. How comfortable do you feel with technology in your daily life?

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* 15. For each of the following statements, please indicate if you Strongly Disagree, Disagree, Agree or Strongly Agree.

  Strongly Disagree Disagree Agree Strongly Agree N/A
It was easy to access virtual mental health and/or addiction care at this organization.
The wait time for services was reasonable for me.
It was easy to book my virtual mental health and/or addiction appointment.
During my virtual mental health and/or addiction appointment, I was able to see the healthcare provider clearly.
During my virtual mental health and/or addiction appointment, I was able to hear the healthcare provider clearly.
I am confident that the healthcare provider at this organization and my other service providers are working as a team.
I feel that there was an adequate amount of time allotted for the virtual mental health and/or addiction appointment.
I felt comfortable during my virtual mental health and/or addiction appointment.
I believe virtual mental health and/or addiction care is just as effective as in-person healthcare.
I was able to get a virtual mental health and/or addiction appointment sooner than an in-person healthcare appointment.
I was assured my personal information was kept confidential.
Staff understood and responded to my needs and concerns.
I was treated with respect by program staff.
I received compassionate virtual mental health and/or addiction care.
I felt safe (emotionally and physically) during my virtual mental health and/or addiction appointment.
The healthcare provider spoke with me about my mental health and/or addiction in a way that I could understand.
I was involved as much as I wanted to be in decisions about my treatment services and supports.
The healthcare provider explained to me the benefits and risks of any treatments or interventions that were recommended during my virtual mental health and/or addiction appointment.
I am confident that I will be able to follow the healthcare provider's recommendations.
I understand what to do if I have a mental health and/or addiction emergency following this appointment.
The physical location of my virtual mental health and/or addiction appointment was convenient for me to get to.
Overall, I am satisfied with my virtual mental health and/or addiction appointment.

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* 16. Please share any other comments you have regarding our virtual services. If you would like to speak with someone regarding your feedback, please email feedback@adstv.ca and a supervisor will follow up with you. 

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