Mental Health and Addictions Client Experience Survey

Question Title

* 1. Please tell us who is completing the survey:

Client

Parent/Guardian

Caregiver

Spouse/Partner

Escort

Other

Client

Parent/Guardian

Caregiver

Spouse/Partner

Escort

Other

Question Title

* 2. Did staff introduce themselves to you before providing care?

Yes, always

Yes, Sometimes

Yes, always

Yes, Sometimes

Question Title

* 3. Did you feel that you were treated with respect and dignity during your visit to the Mental Health and Addictions Program?

Yes, always

Yes, sometimes

Question Title

* 4. Did staff take your cultural values or personal preferences and those of your family or caregiver into account when making decisions about your care?
These things may include, but not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.

Yes, always

Yes, sometimes

If no, please tell us what we can do better.

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* 5. Did you receive enough information from MHAP staff about what to do if you were worried about your mental health/addictions needs after you were finished receiving care at MHAP?

Yes, always

Yes, sometimes

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* 6. In general, how confident are you that you know what to do to take care of and manage your substance use and/or mental health?

Very confident

Somewhat confident

Not confident at all

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* 7. Did staff address your anxiety and fears in a way that you felt cared for?

Yes, Always

Yes, Sometimes

Never

Yes, Always

Yes, Sometimes

Never

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* 8. Do you feel that coming to the Mental Health and Addictions Program helped you?

Yes

Not Sure

Yes

Not Sure

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* 9. What topics did you find helpful during your visit?

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* 10. Would you recommend the Mental Health and Addictions Program at SLMHC to family and friends based on the quality of care provided?

Yes, always

Yes, somewhat

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* 11. Please rate Sioux Lookout Meno Ya Win Health Centre with a number from 1 - 10, with 10 being the best health centre possible and 1 being the worst health centre possible.

1 - Worst Hospital

10 - Best Hospital

1 - Worst Hospital

10 - Best Hospital

Question Title

* 12. Is there anyone you would like to recognize for the care he or she provided?

Yes

If yes, please tell us whom you would like to recognize and why.

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* 13. Are there any general comments or feedback for improvement you would like to share?

Question Title

* 14. Would you like to be contacted about the information you provided in this survey?

Yes

If yes, please provide your name and preferred contact method below (phone number or email address).

Question Title

* 15. Would you like to add your name to a list of clients to be contacted for input on future SLMHC projects/changes?

Yes

If yes, please provide your name and preferred contact method below (phone number or email address).

If you would like to provide additional feedback, please ask any staff member for a Compliment/Feedback Form.

Question Title

* 1. Please tell us who is completing the survey:

Question Title

* 2. Did staff introduce themselves to you before providing care?

Question Title

* 3. Did you feel that you were treated with respect and dignity during your visit to the Mental Health and Addictions Program?

Question Title

* 4. Did staff take your cultural values or personal preferences and those of your family or caregiver into account when making decisions about your care? These things may include, but not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.

Question Title

* 5. Did you receive enough information from MHAP staff about what to do if you were worried about your mental health/addictions needs after you were finished receiving care at MHAP?

Question Title

* 6. In general, how confident are you that you know what to do to take care of and manage your substance use and/or mental health?

Question Title

* 7. Did staff address your anxiety and fears in a way that you felt cared for?

Question Title

* 8. Do you feel that coming to the Mental Health and Addictions Program helped you?

Question Title

* 9. What topics did you find helpful during your visit?

Question Title

* 10. Would you recommend the Mental Health and Addictions Program at SLMHC to family and friends based on the quality of care provided?

Question Title

* 11. Please rate Sioux Lookout Meno Ya Win Health Centre with a number from 1 - 10, with 10 being the best health centre possible and 1 being the worst health centre possible.

Question Title

* 12. Is there anyone you would like to recognize for the care he or she provided?

Question Title

* 13. Are there any general comments or feedback for improvement you would like to share?

Question Title

* 14. Would you like to be contacted about the information you provided in this survey?

Question Title

* 15. Would you like to add your name to a list of clients to be contacted for input on future SLMHC projects/changes?

* 4. Did staff take your cultural values or personal preferences and those of your family or caregiver into account when making decisions about your care?
These things may include, but not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.