You are being invited to take part in this survey if you have recently had a visit at Wawa Family Health Team. Your responses to the questions on this survey will help us improve the care we provide. If you have any comments, please use the text box at the bottom.

Participation in the survey is completely voluntary and all your responses to the survey questions are anonymous and confidential.

Question Title

* 1. If you could go anywhere to get health care, would you choose this practice or would you prefer to go someplace else?

Question Title

* 2. I am delighted with everything about this practice because my expectations for service and quality of care are exceeded.

Question Title

* 3. Please, rate your level of satisfaction with our receptionist services.

Question Title

* 4. How long do you wait to speak to a staff member when you make your appointments?

Question Title

* 5. Was the person who you scheduled your appointment with courteous and helpful?

Question Title

* 6. Thinking about your most recent visit, on a scale of poor to excellent, how would you rate the following?
The length of time it took between making your appointment and the visit you just had

Question Title

* 7. How many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually saw him/her or someone else in their office?

Question Title

* 8. Which do you prefer, 15 or 30 min appointments?

Question Title

* 9. Please, rate your level of satisfaction with the services that the doctors’ secretaries provide.

Question Title

* 10. How would you rate your satisfaction with the personal manner of the health care provider that you regularly see (e.g. courtesy, respect, sensitivity, friendliness)?

Question Title

* 11. If you identify as a minority (LGBTQ, indigenous, other), have you experienced barriers to accessing healthcare?

Question Title

* 12. When you see your Health Care Provider, how often do they...

  Never  Rarely Sometimes Often  Always
Give you an opportunity to ask questions about recommended treatment
Involve you as much as you want to be in decisions about your care and treatment
Spend enough time with you

Question Title

* 13. Are you aware that we offer the following  programs and services? (check where applicable)

Question Title

* 14. Are you aware that we are on Facebook and have a website?

Question Title

* 15. In the last 12 months, how many times have you gone to the emergency room for your care?

Question Title

* 16. In the last 12 months, was it always easy to get a referral to a specialist when you felt like you needed one?

Question Title

* 17. In the last 12 months, how often did you have to see someone else when you wanted to see your Health Care Provider?

Question Title

* 18. Is there any additional information or feedback you would like to share with us that could help us improve the way we provide care?

T