If you have a concern, question or compliment about your care experience that you wish to discuss further, please contact the Patient Experience Coordinator at 1-888-340-6742 or (204) 687-9320

* 1. Choose the location you are giving feedback on

* 2. Were you involved as much as you wanted to be in decisions about your care?

* 3. Were you satisfied with the quality of care that was provided to you?

* 4. Did staff explain your care and service to you in a way you could understand?

* 5. Did you feel safe to ask questions?

* 6. Did staff treat you with courtesy and respect?

* 7. Did you feel that staff listened to you carefully?

* 8. Do you feel your cultural values and beliefs were respected?

* 9. Did you receive your results in a timely manner?

* 10. When you left, did you have a good understanding of the things you needed to do to manage your health?

* 11. Did staff answer all your questions and concerns?

The following questions are about your overall experience you had in this facility

* 12. How would you rate the services you are receiving at this facility?

* 13. If you needed treatment again would you choose to come back to this facility?

The following questions will help us understand more about you...

* 14. What is your sex/gender?

* 15. What is your age?

* 16. In general, how would you rate your health?

* 17. What is the highest level of education that you have completed?

* 18. What language are you most comfortable speaking?

* 19. Is there anything else you would like to tell us about? Do you have any suggestions for changes that may have improved your experience?

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS SURVEY

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