Michael Garron Hospital - Admitting Department TELL US HOW WE ARE DOING? Question Title * 1. What date and time did you arrive to the Admitting Department? Date / Time Date Time AM/PM - AM PM Question Title * 2. How satisfied were you with the amount of time you had to wait in line for a registration clerk? Immediately Less than 1 minute 1 to 2 minutes 3 to 4 minutes 5 to 7 minutes 8 to 10 minutes Greater than 10 minutes Question Title * 3. How courteous and friendly was the registration clerk who served you? Extremely friendly Very friendly Somewhat friendly Not so friendly Not at all friendly Question Title * 4. How professional do you think the staff at the Admitting Department are? Extremely professional Very professional Somewhat professional Not so professional Not at all professional Question Title * 5. How satisfied were you with the way your questions were answered? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Question Title * 6. How well did the registration clerk provide instructions/directions to the clinic or day surgery unit? Extremely clear Very clear Somewhat clear Not so clear Not at all clear Question Title * 7. Positive patient identification is very important and we must ensure that we have your most current contact and insurance information in our system, did the registration clerk ask you to verify your date of birth, address, telephone number, alternate contacts/relatives and family doctor's name? Yes No I do not remember Question Title * 8. The patient's journey starts with us and we are committed to ensure that every patient experience through the Admitting Department is a positive and efficient one. Overall, were you satisfied with your experience in the Admitting Department? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Question Title * 9. Please feel free to provide additional comments below. Your feedback is important. Thank you for taking the time to complete this survey. Done