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NOSH Ontario Emergency Department Short-form Patient Experience Survey
Please answer the questions about your recent visit to the North of Superior Healthcare Group (NOSH).
Do not include any other hospital visits in your answers.
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1.
Please identify from which NOSH site you accessed services:
(Required.)
The McCausland Hospital
Wilson Memorial General Hospital
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2.
If you had a long wait, were you told why?
(Required.)
Yes
No, but I would have liked a reason
No, but I did not mind
Don’t know / Can’t remember
I did not have a long wait
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3.
How often did care providers treat you with courtesy and respect?
(Required.)
Never
Sometimes
Usually
Always
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4.
How often did care providers explain things in a way you could understand?
(Required.)
Never
Sometimes
Usually
Always
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5.
Do you feel that there was good communication about your care between doctors, nurses and other hospital staff?
(Required.)
Never
Sometimes
Usually
Always
Don’t know / Not sure
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6.
Did you get the emotional support you needed to help you with any anxieties, fears or worries you had during this hospital visit?
(Required.)
Never
Sometimes
Usually
Always
Not applicable
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7.
Did care providers do everything they could do to ease your discomfort or symptoms?
(Required.)
No
Yes, somewhat
Yes, mostly
Yes
Not applicable
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8.
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?
(Required.)
Not at all
Partly
Quite a bit
Completely
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9.
Overall… (Please circle a number)
(Required.)
0 (I had a very poor experience)
1
2
3
4
5
6
7
8
9
10 (I had a very good experience)
0 (I had a very poor experience)
1
2
3
4
5
6
7
8
9
10 (I had a very good experience)
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10.
Would you recommend this hospital to your friends and family?
(Required.)
Definitely no
Probably no
Probably yes
Definitely yes
11.
What else would you like to say about this emergency department experience?
Current Progress,
0 of 16 answered
