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.

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

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

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

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

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

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* 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

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* 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?

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* 8. Are you satisfied with the change to 20 minute appointment times with physicians? 

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

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* 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)?

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

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* 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

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

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

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

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

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

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* 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?

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