Adult Survey (English) 2016

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1. Please indicate the service that you received from CommuniCare Therapy:

Physiotherapy

Occupational Therapy

Speech Language Pathology

Social Work

Registered Dietetics

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2. Please indicate where you received the service.

Eastern Counties

Ottawa

Carleton Place/North Lanark/North Grenville

South East (LLG)

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3. Please indicate the date range in which your services ended:

Not Applicable - my services have not yet ended

2022

2023

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4. How did you hear about our satisfaction surveys?

I received a letter in the mail.

I received a survey invitation or patient handout from my clinician.

I saw the survey on the website.

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5. Did you receive service in the official language of your choice?

Yes

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6. Did you receive our patient handout on privacy and safety?

Yes

I don't recall

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7. Please check the response category that best describes your experience with CommuniCare Therapy:

	Strongly Agree	Agree	Neutral	Disagree	Not Applicable
I benefited from the service.	I benefited from the service. Strongly Agree	I benefited from the service. Agree	I benefited from the service. Neutral	I benefited from the service. Disagree	I benefited from the service. Not Applicable
Visits were arranged at a time that was convenient for me.	Visits were arranged at a time that was convenient for me. Strongly Agree	Visits were arranged at a time that was convenient for me. Agree	Visits were arranged at a time that was convenient for me. Neutral	Visits were arranged at a time that was convenient for me. Disagree	Visits were arranged at a time that was convenient for me. Not Applicable
The clinician arrived on or around the scheduled appointment time.	The clinician arrived on or around the scheduled appointment time. Strongly Agree	The clinician arrived on or around the scheduled appointment time. Agree	The clinician arrived on or around the scheduled appointment time. Neutral	The clinician arrived on or around the scheduled appointment time. Disagree	The clinician arrived on or around the scheduled appointment time. Not Applicable
I am satisfied with the amount of contact I had with the clinician.	I am satisfied with the amount of contact I had with the clinician. Strongly Agree	I am satisfied with the amount of contact I had with the clinician. Agree	I am satisfied with the amount of contact I had with the clinician. Neutral	I am satisfied with the amount of contact I had with the clinician. Disagree	I am satisfied with the amount of contact I had with the clinician. Not Applicable
Changes in clinician (if any) did not negatively affect my treatment.	Changes in clinician (if any) did not negatively affect my treatment. Strongly Agree	Changes in clinician (if any) did not negatively affect my treatment. Agree	Changes in clinician (if any) did not negatively affect my treatment. Neutral	Changes in clinician (if any) did not negatively affect my treatment. Disagree	Changes in clinician (if any) did not negatively affect my treatment. Not Applicable
I was given opportunity to ask questions/discuss concerns with the clinician.	I was given opportunity to ask questions/discuss concerns with the clinician. Strongly Agree	I was given opportunity to ask questions/discuss concerns with the clinician. Agree	I was given opportunity to ask questions/discuss concerns with the clinician. Neutral	I was given opportunity to ask questions/discuss concerns with the clinician. Disagree	I was given opportunity to ask questions/discuss concerns with the clinician. Not Applicable
My safety was a priority for the clinician.	My safety was a priority for the clinician. Strongly Agree	My safety was a priority for the clinician. Agree	My safety was a priority for the clinician. Neutral	My safety was a priority for the clinician. Disagree	My safety was a priority for the clinician. Not Applicable
I was treated in a respectful and professional manner.	I was treated in a respectful and professional manner. Strongly Agree	I was treated in a respectful and professional manner. Agree	I was treated in a respectful and professional manner. Neutral	I was treated in a respectful and professional manner. Disagree	I was treated in a respectful and professional manner. Not Applicable
I was involved in setting and evaluating the treatment plan.	I was involved in setting and evaluating the treatment plan. Strongly Agree	I was involved in setting and evaluating the treatment plan. Agree	I was involved in setting and evaluating the treatment plan. Neutral	I was involved in setting and evaluating the treatment plan. Disagree	I was involved in setting and evaluating the treatment plan. Not Applicable
My requests to include family members or other caregivers in my treatment were respected.	My requests to include family members or other caregivers in my treatment were respected. Strongly Agree	My requests to include family members or other caregivers in my treatment were respected. Agree	My requests to include family members or other caregivers in my treatment were respected. Neutral	My requests to include family members or other caregivers in my treatment were respected. Disagree	My requests to include family members or other caregivers in my treatment were respected. Not Applicable
Goals set for therapy were realistic and attainable.	Goals set for therapy were realistic and attainable. Strongly Agree	Goals set for therapy were realistic and attainable. Agree	Goals set for therapy were realistic and attainable. Neutral	Goals set for therapy were realistic and attainable. Disagree	Goals set for therapy were realistic and attainable. Not Applicable
The recommendations/interventions helped me to function better in my environment.	The recommendations/interventions helped me to function better in my environment. Strongly Agree	The recommendations/interventions helped me to function better in my environment. Agree	The recommendations/interventions helped me to function better in my environment. Neutral	The recommendations/interventions helped me to function better in my environment. Disagree	The recommendations/interventions helped me to function better in my environment. Not Applicable
The therapist clearly explained the reason for discharge.	The therapist clearly explained the reason for discharge. Strongly Agree	The therapist clearly explained the reason for discharge. Agree	The therapist clearly explained the reason for discharge. Neutral	The therapist clearly explained the reason for discharge. Disagree	The therapist clearly explained the reason for discharge. Not Applicable
I agreed with the plan to discharge.	I agreed with the plan to discharge. Strongly Agree	I agreed with the plan to discharge. Agree	I agreed with the plan to discharge. Neutral	I agreed with the plan to discharge. Disagree	I agreed with the plan to discharge. Not Applicable
Overall, I am satisfied with the services I received from CommuniCare Therapy.	Overall, I am satisfied with the services I received from CommuniCare Therapy. Strongly Agree	Overall, I am satisfied with the services I received from CommuniCare Therapy. Agree	Overall, I am satisfied with the services I received from CommuniCare Therapy. Neutral	Overall, I am satisfied with the services I received from CommuniCare Therapy. Disagree	Overall, I am satisfied with the services I received from CommuniCare Therapy. Not Applicable

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8. We appreciate your time and consideration in completing this survey. Your feedback is very important to us.

Please feel free to add any comments in the box below or send comments to: feedback@communicare.ca ; you are welcome to add the clinicians name if you would like the comments to be passed on.

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9. At CommuniCare Therapy we are invested in partnering with patients and their families to provide care that is appropriate and meaningful to them.
If you are interested in participating in our patient and family focus groups please leave your name and contact information below.

Please select the 'Submit Survey' button below to submit your survey. Thank you.

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1. Please indicate the service that you received from CommuniCare Therapy:

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2. Please indicate where you received the service.

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3. Please indicate the date range in which your services ended:

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4. How did you hear about our satisfaction surveys?

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5. Did you receive service in the official language of your choice?

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6. Did you receive our patient handout on privacy and safety?

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7. Please check the response category that best describes your experience with CommuniCare Therapy:

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9. At CommuniCare Therapy we are invested in partnering with patients and their families to provide care that is appropriate and meaningful to them. If you are interested in participating in our patient and family focus groups please leave your name and contact information below.

9. At CommuniCare Therapy we are invested in partnering with patients and their families to provide care that is appropriate and meaningful to them.
If you are interested in participating in our patient and family focus groups please leave your name and contact information below.