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* 1. Please answer the following questions about your care while in the hospital.

  Never Sometimes Usually Always Don't Know/Not Applicable
Were you satisfied with the care you received from the nurses?
Did the nurses explain your care to you in a way you could understand?
Did the nurses address your questions and concerns?
Were you satisfied with the care you received from doctors?
Did the doctors explain your care to you in a way you could understand?
Did the doctors address your questions and concerns?
Before giving any new medicine, did maternity staff describe possible side effects in a way you could understand? 
Were you satisfied that you had enough say in decision making about your care?
Were your preferences taken into account when providing care?
Was the staff sensitive to your needs? 
Did the staff treat you with courtesy and respect? 
Did the staff respect your cultural values? 

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* 2. Please answer the following questions about your hospital stay.

  Never Sometimes Usually Always Don't Know/Not Applicable
Did staff introduce themselves to you? 
Did staff explain their role before they offered care? 
Were you satisfied with the customer service from our staff?
Were you satisfied with the overall care you received? 
Were you satisfied with the cleanliness of your room?
Were you satisfied with the quality of food you received?
Before you left the hospital, did you have a clear understanding about all of your prescribed medications, including those you were taking before your hospital stay?
Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after you left the hospital? 
Did the staff tell you when yo could resume your usual activities, such as when to go back to work or drive a car? 

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* 3. Please answer these questions about your experience while in the Maternal/Child Unit.

  Yes No Not Applicable/I don't know
After the birth of your baby, did you receive the opportunity to have skin to skin contact with your baby?
If yes, was skin to skin contact a positive experience?
At the end of your stay did you receive enough teaching and information from staff to get you through to your next doctor's appointment? 

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* 4. Would you recommend the Sioux Lookout Meno Ya Win Health Centre to friends and family?

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* 5. Please rate the Maternal/Child Unit at the Sioux Lookout Meno Ya Win Health Centre using any number from 1 - 10, where 1 is the WORST health centre possible and 10 is the BEST health centre possible

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* 6. Do you have any comments?

Thank you for taking the time to complete this survey.

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