Patient Satisfactory Survey - we value input from our patients. Information collected from our survey is used on our Quality Improvement Plan

Question Title

* 1. When you see your Doctor or Nurse Practitioner, how often do they involve you as much as you want to be in the decisions about your care and treatment?

Always

Often

Sometimes

Rarely

Never

N/A

Question Title

* 2. When you see your Doctor or Nurse Practitioner, how often do they give you an opportunity to ask questions about the recommend treatment?

Always

Often

Sometimes

Rarely

Never

N/A

Question Title

* 3. When you see your Doctor or Nurse Practitioner, how often so they give you an opportunity to ask question about the recommended treatment?

Always

Often

Sometimes

Rarely

Never

Question Title

* 4. The last time you were sick, how many days did it take from when you first tried to see your Doctor or Nurse Practitioner to when you actually saw them?

Same day

Next day

2-19 days

20 or more

Very low quality

If 2-19 days please enter number of days

Question Title

* 5. Overall, how satisfied were you with your health care experience at Point North FHT? (Ex 10= very satisfied and 1=very unsatisfied)

Question Title

* 6. Are you aware of the other services that are offered at this clinic? ( For example- diabetes clinic, smoking cessation, counseling, walk -in BP mornings, and peer support programs) * If you would like further info on our programs and services please include your name and contact info on the bottom of the survey

Yes, I am aware and interested in the services offered

Yes, I am aware but not interested in these services offered at this time

No, I am not aware but am interested in these services

No, I am not aware and not interested in these services at this time

N/A

Question Title

* 7. Are you satisfied with the other services offered at this clinic?

Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

N/A

Patient Satisfactory Survey - we value input from our patients. Information collected from our survey is used on our Quality Improvement Plan

Question Title

* 1. When you see your Doctor or Nurse Practitioner, how often do they involve you as much as you want to be in the decisions about your care and treatment?

Question Title

* 2. When you see your Doctor or Nurse Practitioner, how often do they give you an opportunity to ask questions about the recommend treatment?

Question Title

* 3. When you see your Doctor or Nurse Practitioner, how often so they give you an opportunity to ask question about the recommended treatment?

Question Title

* 4. The last time you were sick, how many days did it take from when you first tried to see your Doctor or Nurse Practitioner to when you actually saw them?

Question Title

* 5. Overall, how satisfied were you with your health care experience at Point North FHT? (Ex 10= very satisfied and 1=very unsatisfied)

Question Title

Question Title

* 7. Are you satisfied with the other services offered at this clinic?

Question Title

* 8. Do you have any other comments?