Emergency Department Client Experience Survey

Question Title

* 1. Did you feel that you were treated with compassion and respect during your hospital visit?

Yes, always

Yes, Sometimes

If no, please tell us what we can improve.

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* 2. Did staff introduce themselves to you before providing care?

Yes, always

Yes, Sometimes

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* 3. Did staff take your cultural values, or personal preferences, and those of your family or caregiver into account when making decisions about your care?
These things may include, but are not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.

Yes, always

Usually

Sometimes

Never

If never, please tell us what we can do better.

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* 4. Did staff explain your condition and treatment in a way you could understand?

Yes, always

Yes, sometimes

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* 5. Were you satisfied that you had enough time to make decisions about your care?

Yes, always

Yes, sometimes

If no, please tell us what we can improve.

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* 6. Did you feel you were treated in a way that was helpful and supportive to you?

Yes, always

Yes, sometimes

If no, please tell us what we can improve.

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* 7. When preparing to leave the hospital, did you feel you have a good understanding of how to manage your health at home?

Yes, completely

Yes, somewhat

If no, please tell us what we can improve.

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* 8. Is there anyone you would like to recognize for the care he or she provided during your stay?

Yes

If yes, please tell us who you would like to recognize and why.

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* 9. Please rate SLMHC 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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* 10. Would you recommend this Emergency Department to your family and friends based on the quality of care provided?

Yes, definitely

Yes, somewhat

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* 11. Do you have any general comments or feedback for improvement that you would like to provide?

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* 12. Would you like to be contacted about the information you provided in this survey?

Yes

If yes, please provide your name and preferred method below (phone number or email address).

Question Title

* 13. Would you like to add your name to a list of clients to be contacted for input on future SLMHC projects/changes?

Yes

If yes, please provide your name and preferred method below (phone number or email address).

If you would like to provide additional feedback, please ask any staff member for a Compliment/Feedback Form.

Question Title

* 1. Did you feel that you were treated with compassion and respect during your hospital visit?

Question Title

* 2. Did staff introduce themselves to you before providing care?

Question Title

* 3. Did staff take your cultural values, or personal preferences, and those of your family or caregiver into account when making decisions about your care? These things may include, but are not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.

Question Title

* 4. Did staff explain your condition and treatment in a way you could understand?

Question Title

* 5. Were you satisfied that you had enough time to make decisions about your care?

Question Title

* 6. Did you feel you were treated in a way that was helpful and supportive to you?

Question Title

* 7. When preparing to leave the hospital, did you feel you have a good understanding of how to manage your health at home?

Question Title

* 8. Is there anyone you would like to recognize for the care he or she provided during your stay?

Question Title

* 9. Please rate SLMHC using any number from 1 - 10, where 1 is the WORST health centre possible and 10 is the BEST health centre possible.

Question Title

* 10. Would you recommend this Emergency Department to your family and friends based on the quality of care provided?

Question Title

* 11. Do you have any general comments or feedback for improvement that you would like to provide?

Question Title

* 12. Would you like to be contacted about the information you provided in this survey?

Question Title

* 13. Would you like to add your name to a list of clients to be contacted for input on future SLMHC projects/changes?

* 3. Did staff take your cultural values, or personal preferences, and those of your family or caregiver into account when making decisions about your care?
These things may include, but are not limited to, accessibility needs, interpreter assistance, visits by clergy, elders, or spiritual leaders.