Skip to content
Maternal Child Unit Client Experience Survey
1.
Did staff introduce themselves to you before providing care?
Yes, always
Yes, sometimes
No
2.
Please answer the following questions about your care.
Yes, Always
Yes, Sometimes
No
Did staff explain their role before they offered care?
Yes, Always
Yes, Sometimes
No
If you had any questions or concerns regarding your condition or treatment, did the staff discuss this with you?
Yes, Always
Yes, Sometimes
No
Did staff address any anxiety or fears you had in a way that you felt cared for?
Yes, Always
Yes, Sometimes
No
Before giving any new medications, did staff describe possible side effects in a way you could understand?
Yes, Always
Yes, Sometimes
No
Did you feel you were treated with dignity and respect during your hospital stay?
Yes, Always
Yes, Sometimes
No
Were you satisfied with the overall care you received during your hospital stay?
Yes, Always
Yes, Sometimes
No
3.
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 are not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.)
Yes, always
Yes, sometimes
No
If no, please tell us what we can do better.
4.
Were you satisfied with the cleanliness of your room
?
Yes, always
Yes, sometimes
No
5.
Were you satisfied with the quality of the food you received?
Always
Sometimes
No
If no, please tell us what we can improve.
6.
Were you offered a Miichim (traditional food program) meal?
Yes
No
If yes, do you have any feedback you would like to share about the Miichim meal?
7.
After the birth of your baby, did you have the opportunity to have skin to skin contact with your baby?
Yes
No
8.
If you were not given the opportunity to have skin to skin contact, was the separation from your baby after birth for medical reasons?
Yes
No
Not Sure
9.
Please answer the following questions about feeding your baby.
Yes, always
Sometimes
No
Don't know/Not applicable
Did you make an informed choice or decision between breastfeeding or bottle feeding your baby?
Yes, always
Sometimes
No
Don't know/Not applicable
If you chose to breastfeed, were you offered support on proper positioning techniques from the Maternity Staff or the Lactation Consultant?
Yes, always
Sometimes
No
Don't know/Not applicable
Were you offered a visit from the Lactation Consultant?
Yes, always
Sometimes
No
Don't know/Not applicable
If you chose to bottle feed, were you informed on how to safely bottle feed your baby?
Yes, always
Sometimes
No
Don't know/Not applicable
If you chose to bottle feed, were you informed about how much to feed your baby per day?
Yes, always
Sometimes
No
Don't know/Not applicable
10.
Were you told by health care professional that your baby needed to be supplemented with formula for medical reasons?
Yes
No
11.
Please answer the following questions about maintaining and storing your milk supply if separated from your baby.
Yes
No
I wasn't separated from my baby
If you were separated from your baby, were you offered support on how to properly hand express or pump your breasts to maintain your milk supply?
Yes
No
I wasn't separated from my baby
If you were separated from your baby, were you offered support or instructed on how to store expressed breast milk for your baby?
Yes
No
I wasn't separated from my baby
12.
Is there anyone you would like to recognize for the care he or she provided during your stay?
Yes
No
If yes, please tell us who you would like to recognize and why.
13.
Would you recommend Sioux Lookout Meno Ya Win Health Centre to family and friends based on the quality of care provided?
Yes, definitely
Yes, probably
No
14.
Please rate Sioux Lookout Meno Ya Win Health Centre using any number from 1 - 10, where 10 is the BEST health centre possible and 1 is the WORST health centre possible
1 - Worst
2
3
4
5
6
7
8
9
10 - Best
1 - Worst
2
3
4
5
6
7
8
9
10 - Best
15.
Do you have any other feedback you would like to provide?
16.
Would you like to be contacted about any of the information provided in this survey?
Yes
No
If yes, please enter your name and preferred method of contact, either email address or phone number.
17.
Would you like to add your name to a list of clients to be contacted for input on future SLMHC projects/changes?
Yes
No
If yes, please enter your name and preferred method of contact, either email address or phone number.
Thank you for taking the time to complete this survey. If you have other comments or feedback, please ask any staff member for a Compliments/Feedback form.
