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Ontario Adult Inpatient Short-form Patient Experience Survey
Please answer the questions about your recent stay at North of Superior Healthcare Group. Do not include any other hospital stays in your answers.
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1.
Please identify the NOSH site you accessed inpatient services:
(Required.)
The McCausland Hospital
Wilson Memorial General Hospital
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2.
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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3.
During this hospital stay, did you get all the information you needed about your condition and treatment?
(Required.)
Never
Sometimes
Usually
Always
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4.
Did you get the support you needed to help you with anxieties, fears or worries you had during this hospital stay?
(Required.)
Never
Sometimes
Usually
Always
Not applicable
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5.
Were you involved as much as you wanted to be in decisions about your care and treatment?
(Required.)
Never
Sometimes
Usually
Always
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6.
Were you able to get a member of hospital staff to help you when you needed attention?
(Required.)
Yes, always
Sometimes
No, never
I did not need attention
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7.
Before you left hospital, did you have a clear understanding about all of your prescribed medications, including those you were taking before your hospital stay?
(Required.)
Not at all
Partly
Quite a bit
Completely
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 inpatient experience? (Please do not include any names, contact information, or identifying information)
Current Progress,
0 of 16 answered