LWAFHT Primary Care Patient Experience Survey

Question Title

1. Which location have you most recently received services from?

North Perth (Listowel)

North Huron (Wingham, Lucknow, Teeswater)

Question Title

2. When you see a doctor or nurse practitioner, how often do they or someone else in the office involve you in decisions about your care?

Almost Never

Rarely

Sometimes

Often

Almost Always

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3. How often are you able to get an appointment within the time frame that you feel you need it?

Almost Never

Rarely

Sometimes

Often

Almost Always

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4. What is your preferred way to book an appointment with a doctor, nurse practitioner or someone else in the office?

Booking the appointment online

Calling the office

Booking in-person

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5. I always feel comfortable and welcome at the Listowel Wingham and Area Family Health Team

Agree

Disagree

Agree

Disagree

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6. If you have used the online appointment booking system to make an appointment, how satisfied were you with the online booking process? (select N/A if you have never used the online appointment booking system)

N/A (have not used it)

Very Dissatisfied

Dissatisfied

Not Sure

Satisfied

Very Satisfied

Question Title

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

Question Title

8. Enter Current Date (Required.)

Date used for reporting purposes only

Date

LWAFHT Primary Care Patient Experience Survey

Question Title

* 1. Which location have you most recently received services from?

Question Title

* 2. When you see a doctor or nurse practitioner, how often do they or someone else in the office involve you in decisions about your care?

Question Title

* 3. How often are you able to get an appointment within the time frame that you feel you need it?

Question Title

* 4. What is your preferred way to book an appointment with a doctor, nurse practitioner or someone else in the office?

Question Title

* 5. I always feel comfortable and welcome at the Listowel Wingham and Area Family Health Team

Question Title

* 6. If you have used the online appointment booking system to make an appointment, how satisfied were you with the online booking process? (select N/A if you have never used the online appointment booking system)

Question Title

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

Question Title

* 8. Enter Current Date (Required.)

1. Which location have you most recently received services from?

2. When you see a doctor or nurse practitioner, how often do they or someone else in the office involve you in decisions about your care?

3. How often are you able to get an appointment within the time frame that you feel you need it?

4. What is your preferred way to book an appointment with a doctor, nurse practitioner or someone else in the office?

5. I always feel comfortable and welcome at the Listowel Wingham and Area Family Health Team

6. If you have used the online appointment booking system to make an appointment, how satisfied were you with the online booking process? (select N/A if you have never used the online appointment booking system)

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

8. Enter Current Date (Required.)