Rehabilitation Department Client Experience Survey

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* 1. What is your patient status?

Inpatient

Outpatient

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* 2. Did the staff introduce themselves to you?

Never

Sometimes

Usually

Always

N/A - I already knew the staff member

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* 3. Please answer the following questions about staff.

	Always	Usually	Sometimes	Never
Did staff explain their role before offering care?	Did staff explain their role before offering care? Always	Did staff explain their role before offering care? Usually	Did staff explain their role before offering care? Sometimes	Did staff explain their role before offering care? Never
Did staff explain the treatment to you?	Did staff explain the treatment to you? Always	Did staff explain the treatment to you? Usually	Did staff explain the treatment to you? Sometimes	Did staff explain the treatment to you? Never
Did staff answer your questions?	Did staff answer your questions? Always	Did staff answer your questions? Usually	Did staff answer your questions? Sometimes	Did staff answer your questions? Never
Was staff respectful and professional?	Was staff respectful and professional? Always	Was staff respectful and professional? Usually	Was staff respectful and professional? Sometimes	Was staff respectful and professional? Never
Was staff sensitive to your needs?	Was staff sensitive to your needs? Always	Was staff sensitive to your needs? Usually	Was staff sensitive to your needs? Sometimes	Was staff sensitive to your needs? Never
Did staff respect your cultural values when providing care.	Did staff respect your cultural values when providing care. Always	Did staff respect your cultural values when providing care. Usually	Did staff respect your cultural values when providing care. Sometimes	Did staff respect your cultural values when providing care. Never
Were you satisfied with the customer service from staff.	Were you satisfied with the customer service from staff. Always	Were you satisfied with the customer service from staff. Usually	Were you satisfied with the customer service from staff. Sometimes	Were you satisfied with the customer service from staff. Never
Did you feel the staff respected your confidentiality?	Did you feel the staff respected your confidentiality? Always	Did you feel the staff respected your confidentiality? Usually	Did you feel the staff respected your confidentiality? Sometimes	Did you feel the staff respected your confidentiality? Never

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* 4. Were you satisfied with the following?

	Always	Usually	Sometimes	Never
The involvement you had in making decisions about your care.	The involvement you had in making decisions about your care. Always	The involvement you had in making decisions about your care. Usually	The involvement you had in making decisions about your care. Sometimes	The involvement you had in making decisions about your care. Never
How well the service(s) met your needs.	How well the service(s) met your needs. Always	How well the service(s) met your needs. Usually	How well the service(s) met your needs. Sometimes	How well the service(s) met your needs. Never
The time you waited to receive care.	The time you waited to receive care. Always	The time you waited to receive care. Usually	The time you waited to receive care. Sometimes	The time you waited to receive care. Never
How well your privacy was respected.	How well your privacy was respected. Always	How well your privacy was respected. Usually	How well your privacy was respected. Sometimes	How well your privacy was respected. Never

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* 5. How would you rate your overall care at the Rehabilitation Department?

1 - Poor

10 - Excellent

1 - Poor

10 - Excellent

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* 6. Would you recommend the Rehabilitation Department of the Sioux Lookout Meno Ya Win Health Centre to friends and family?

Definitely Yes

Probably Yes

Probably No

Definitely Yes

Unsure

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* 7. Please rate the Sioux Lookout Meno Ya Win Health Centre using any number from 1 - 10, where 1 is the WORST health centre possible and 10 is the BEST health centre possible

1 - Worst

10 - Best

1 - Worst

10 - Best

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* 8. Do you have any comments?

Thank you for taking the time to complete this survey. We value your opinion and we appreciate your feedback to maintain a high quality of service for our community by identifying opportunities for improvement.