Patient Satisfaction Survey 2025/2026

Patient Satisfaction Survey

We want to hear about your experiences with the Mount Forest Family Health Team. This survey is voluntary. It should only take you about 5-10 minutes to complete.

Your answers are anonymous and will not impact the care you receive. Your healthcare provider will NOT see any information that could identify who you are.

We will use your feedback to help us identify things that are going well and things we can work on to improve your experience and care.

Thank you for your interest in improving health care at the Mount Forest Family Health Team.

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* 1. What is your role in filling out this survey?

I'm the patient

I'm a caregiver for the patient

I'm a family member of the patient

Other (please specify)

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* 2. What is your age?

Under 17

18-24

25-34

35-44

45-54

55-64

65-80

81+

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* 3. Please identify who you saw today or most recently:

Receptionist (to book an appointment, drop off or pick up forms)

Doctor or Nurse Practitioner

Pharmacist

Mental Health Therapist

Chronic Disease Nurse

Nurse

Occupational Therapist

Kinesiologist

Dietitian

Cancer Care Coordinator

Outreach Worker

Peer Support Worker

Care Coordinator-Ontario Health at Home (IPCT)

Community Addictions Counsellor (CADS)-Homewood

Outside care provider (Respirologist, Midwife, etc.)

If you like, tell us who you saw:

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* 4. Considering the urgency of your issue, was the amount of time you had to wait to get this appointment reasonable? (move the slider)

Not reasonable

Neutral

Reasonable

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. Did you feel welcomed at your appointment?

Not at all.

Neutral

Very welcome.

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. Tell us more.

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* 7. Did you feel comfortable at your appointment?

Not at all.

Neutral

Very comfortable.

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. Tell us more.

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* 9. Were you given an opportunity to ask questions about recommended treatments?

Yes

Not applicable

Please explain:

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* 10. Did you feel that the care you received was tailored to your specific needs and background, regardless of your race, ethnicity, gender, age, or any other personal characteristic?

Not at all.

Neutral

Very much so.

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 11. Please explain.

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* 12. Some of our providers offer online appointment booking. Would you be interested in it?

Yes

Please explain:

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* 13. Do you have any feedback on how we can improve?

Thank you for providing your feedback.
Surveys are collected throughout the year.
Results are posted on the Mount Forest Family Health Team website annually.