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Patient Experience Survey

You are being invited to take part in this survey because you have recently had a visit at Windsor Essex Community Health Centre (weCHC).

Your responses to the questions on this survey will help us improve the care we provide. It will take approximately 5 minutes to complete.
 
Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential.

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* 1. Are you completing this survey for yourself or for another person?

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* 2. If you are completing this survey for someone else, who are you completing it for?

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* 3. Section 1:  Contacting Us
How was the appointment for your most recent visit made?

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* 4. Section 1:  Contacting Us
Thinking about your most recent visit, on a scale
of poor to excellent, how would you rate the following …

  Poor Fair Good Very Good Excellent
The length of time it took between making your
appointment and the visit you just had
Your overall experience accessing the centre

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* 5. Section 2:  Arriving and Waiting at the Centre
On a scale of poor to excellent, how would you rate the following:

  Poor Fair Good Very Good Excellent
The length of time you had to wait in the reception/ waiting area
Your overall experience with our reception staff
The length of time you had to wait in the examination room before you spoke with the health care provider about the reason for your visit

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* 6. Section 3:  Your Appointment
Thinking about the MAIN health care provider you spoke with during a visit, on a scale of poor to excellent, how would you rate this person on the following:

  Poor Fair Good Very Good Excellent
They knew about your medical history
They listened to your concerns
They spoke using a language you could understand        
They explained things in a way that was easy to understand
They were sensitive to your needs and preferences
They treated you with dignity and respect
They gave you clear instructions about what you need to do after your visit
Your overall experience speaking with the health care provider about the reason for your visit

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* 7. Section 4:  Your Overall Experience With Your Most Recent Visit
Thinking about your most recent visit, on a scale of poor to excellent, how would you rate the following:

  Poor Fair Good Very Good Excellent
The overall cleanliness of the centre
The overall physical comfort of the centre
Your confidence in the doctor/ health care provider(s) you saw during the visit
Your confidence that your health information was treated with the level of privacy you expect
Your overall experience with the visit you had with us

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* 8. Section 5: Your  Experiences visiting with us over the last year or so
We’d like you to think more broadly…about your experiences with us OVER THE LAST YEAR OR SO
The last time you were sick or concerned you had a health problem, did you get an appointment on the date you wanted?

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* 9. Section 5: Your  Experiences visiting with us over the last year or so
We’d like you to think more broadly…about your experiences with us OVER THE LAST YEAR OR SO
The last time you were sick or concerned you had a health problem,

  Same Day Next Day 2-19 days 20+ days Don't know/Don't want to answer
How many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their centre?

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* 10. When you see your doctor or nurse practitioner, how often do they or someone else in the centre:

  Never Rarely Sometimes Often Always
Give you an opportunity to ask questions about recommended treatment
Involve you as much as you want to be in decisions about your care and treatment
Spend enough time with you

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* 11. Over the last year did you receive care from a health care provider at a location other than this centre?

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* 12. Thinking about the health care providers that you have seen at the different places you have received care over the last year or so, how often:

  Never Rarely Sometimes Often Always
Did each seem to know your medical history
Did each seem to have your recent test or exam results
Were they consistent in what they were telling you about your care and treatment?
Did they seem to work well together in caring for you?

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* 13. The last time when you needed medical care in the evening, on the weekend or on a public holiday, how easy was it to get care without going to the emergency department?

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* 14. In general how would you rate your overall health?

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* 15. How long have you been visiting us for your health care?

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* 16. Using your best guess, how many times did you visit us over the last year or so for your own medical care?

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* 17. Would you recommend our services to your family or friends?

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* 18. Location / Program where you receive services:

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* 19. Thinking of your overall experience with our centre, what are:

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* 20. Is there any additional information or feedback you would like to share with us that could help us improve the way we provide care?

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