Maternal Child Unit Client Experience Survey

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

Yes, always

Yes, sometimes

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* 2. Please answer the following questions about your care.

	Yes, Always	Yes, Sometimes	No
Did staff explain their role before they offered care?	Did staff explain their role before they offered care? Yes, Always	Did staff explain their role before they offered care? Yes, Sometimes	Did staff explain their role before they offered care? No
If you had any questions or concerns regarding your condition or treatment, did the staff discuss this with you?	If you had any questions or concerns regarding your condition or treatment, did the staff discuss this with you? Yes, Always	If you had any questions or concerns regarding your condition or treatment, did the staff discuss this with you? Yes, Sometimes	If you had any questions or concerns regarding your condition or treatment, did the staff discuss this with you? No
Did staff address any anxiety or fears you had in a way that you felt cared for?	Did staff address any anxiety or fears you had in a way that you felt cared for? Yes, Always	Did staff address any anxiety or fears you had in a way that you felt cared for? Yes, Sometimes	Did staff address any anxiety or fears you had in a way that you felt cared for? No
Before giving any new medications, did staff describe possible side effects in a way you could understand?	Before giving any new medications, did staff describe possible side effects in a way you could understand? Yes, Always	Before giving any new medications, did staff describe possible side effects in a way you could understand? Yes, Sometimes	Before giving any new medications, did staff describe possible side effects in a way you could understand? No
Did you feel you were treated with dignity and respect during your hospital stay?	Did you feel you were treated with dignity and respect during your hospital stay? Yes, Always	Did you feel you were treated with dignity and respect during your hospital stay? Yes, Sometimes	Did you feel you were treated with dignity and respect during your hospital stay? No
Were you satisfied with the overall care you received during your hospital stay?	Were you satisfied with the overall care you received during your hospital stay? Yes, Always	Were you satisfied with the overall care you received during your hospital stay? Yes, Sometimes	Were you satisfied with the overall care you received during your hospital stay? No

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* 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

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

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* 4. Were you satisfied with the cleanliness of your room?

Yes, always

Yes, sometimes

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* 5. Were you satisfied with the quality of the food you received?

Always

Sometimes

If no, please tell us what we can improve.

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* 6. Were you offered a Miichim (traditional food program) meal?

Yes

If yes, do you have any feedback you would like to share about the Miichim meal?

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* 7. After the birth of your baby, did you have the opportunity to have skin to skin contact with your baby?

Yes

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* 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

Not Sure

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* 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?	Did you make an informed choice or decision between breastfeeding or bottle feeding your baby? Yes, always	Did you make an informed choice or decision between breastfeeding or bottle feeding your baby? Sometimes	Did you make an informed choice or decision between breastfeeding or bottle feeding your baby? No	Did you make an informed choice or decision between breastfeeding or bottle feeding your baby? 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?	If you chose to breastfeed, were you offered support on proper positioning techniques from the Maternity Staff or the Lactation Consultant? Yes, always	If you chose to breastfeed, were you offered support on proper positioning techniques from the Maternity Staff or the Lactation Consultant? Sometimes	If you chose to breastfeed, were you offered support on proper positioning techniques from the Maternity Staff or the Lactation Consultant? No	If you chose to breastfeed, were you offered support on proper positioning techniques from the Maternity Staff or the Lactation Consultant? Don't know/Not applicable
Were you offered a visit from the Lactation Consultant?	Were you offered a visit from the Lactation Consultant? Yes, always	Were you offered a visit from the Lactation Consultant? Sometimes	Were you offered a visit from the Lactation Consultant? No	Were you offered a visit from the Lactation Consultant? Don't know/Not applicable
If you chose to bottle feed, were you informed on how to safely bottle feed your baby?	If you chose to bottle feed, were you informed on how to safely bottle feed your baby? Yes, always	If you chose to bottle feed, were you informed on how to safely bottle feed your baby? Sometimes	If you chose to bottle feed, were you informed on how to safely bottle feed your baby? No	If you chose to bottle feed, were you informed on how to safely bottle feed your baby? Don't know/Not applicable
If you chose to bottle feed, were you informed about how much to feed your baby per day?	If you chose to bottle feed, were you informed about how much to feed your baby per day? Yes, always	If you chose to bottle feed, were you informed about how much to feed your baby per day? Sometimes	If you chose to bottle feed, were you informed about how much to feed your baby per day? No	If you chose to bottle feed, were you informed about how much to feed your baby per day? Don't know/Not applicable

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* 10. Were you told by health care professional that your baby needed to be supplemented with formula for medical reasons?

Yes

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* 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?	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	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? No	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? 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?	If you were separated from your baby, were you offered support or instructed on how to store expressed breast milk for your baby? Yes	If you were separated from your baby, were you offered support or instructed on how to store expressed breast milk for your baby? No	If you were separated from your baby, were you offered support or instructed on how to store expressed breast milk for your baby? I wasn't separated from my baby

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

Yes

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

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* 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

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* 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

10 - Best

1 - Worst

10 - Best

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* 15. Do you have any other feedback you would like to provide?

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

Yes

If yes, please enter your name and preferred method of contact, either email address or phone number.

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* 17. 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 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.