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Thank you for taking the time to complete the 2024-25 patient/client satisfaction survey. Your responses will help the Grand Bend Area Community Health Centre reflect on practices and deliver excellent and relevant care and services.

If you have feedback on a specific incident or issue, or you wish to register a complaint, please complete the form on our Client Relations webpage.

Your voluntary survey responses are anonymous and confidential. Please do not include any personal health or identifying information in your responses.

If a question does not apply to you, please leave it blank.

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* 1. Select your gender identity.

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* 2. Select your age.

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* 3. What type of appointment was your most recent appointment?

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* 4. Thinking of your most recent appointment or visit, please rate the following.

  Poor Fair Good Very Good Excellent N/A
Overall experience accessing the appointment
Overall cleanliness of the GBACHC
Overall experience with reception staff

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* 5. How did you feel at your most recent visit?

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* 6. When you see the doctor or nurse practitioner, they or someone else in the office involve you as much as you want to be in decisions about your care and treatment.

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* 7. Thinking about the health care provider at your most recent appointment, please rate the following.

  Poor Fair Good Very Good Excellent N/A
Knew my medical history
Had my recent tests or exams results
Listened to my concerns and answered questions to my satisfaction
Was sensitive to my needs, preferences and cultural values
Treated me with respect and dignity
Addressed my fears and anxieties
Respected my privacy and confidentiality
Gave clear instructions and recommendations about what to do following the appointment
Overall confidence in the health care provider
Overall appointment experience

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* 8. The last time you were sick or concerned about your health, did you get an appointment in a timely manner?

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* 9. The last time you needed care, how many days did it take from the appointment request to the appointment day?

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* 10. About how many times have you had a primary care appointment at the Grand Bend Area Community Health Centre in the past year?

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* 11. In the past year, with which health care provider(s) or program did you have an appointment(s) or session? (Select all that apply.)

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* 12. How do you rate the following for yourself?

  Poor Fair Good Very Good Excellent
Overall physical health
Overall mental health

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* 13. How do you describe your current stress level?

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* 14. What factors affect your stress level?

  None at all A little A moderate amount A lot A great deal
Too many commitments or responsibilities
Managing my health
Being a caregiver to a dependent
Finances
Relationships
Transportation
Work
Lack of work
School pressures
Lack of social support and friends
Lack of affordable housing
Access to childcare
Access to food
Living in poverty
Lack of dental coverage
Navigating online computer services

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* 15. Please rate the following.

  Hardly ever Some of the time Often
How often do you feel that you lack companionship?
How often do you feel left out?
How often do you feel isolated from others?

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* 16. How do you describe your sense of belonging or being connected to your community?

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* 17. Do you feel uncomfortable or out of place in your community?

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* 18. Thinking about a time that you may have felt uncomfortable or out of place in your community, what factors affected your sense of belonging?

  None at all A little A moderate amount A lot A great deal
Health condition
Age
Social status
Physical disability
Weight
Culture and/or ethnicity
Religion
Gender identity and/or sexual orientation
Mental health

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* 19. How did you learn about the Grand Bend Area Community Health Centre's programs and services? (Select all that apply.)

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* 20. In the past year, have you done any of the following as a result of a program or service received at the Grand Bend Area Community Health Centre? (Select all that apply.)

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* 21. Please rate you overall experience in accessing services and/or programs at the Grand Bend Area Community Health Centre?

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* 22. List two or more things the Grand Bend Area Community Health Centre is doing well.

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* 23. List two or more things that need improvement at the Grand Bend Area Community Health Centre.

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