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Campbellford Memorial Hospital Outpatient Survey
1.
What laboratory service did you experience? (select all that apply)
Bloodwork
Electrocardiogram
Holter Monitor
2.
If you used our online booking feature, did you find it easy to navigate?
Definitely
For the most part
Somewhat
Not at all
I didn't book online
If you answered not at all, why not?
3.
Do you feel satisfied with our appointment availability?
Definitely
For the most part
Somewhat
Not at all
If you answered not at all, why not?
4.
Did you find our clerical staff courteous and helpful?
Definitely
For the most part
Somewhat
Not at all
If you answered not at all, why not?
5.
If your appointment did not start on time, how many minutes did you have to wait in the waiting room?
I was seen on time, or early
I waited up to 15 minutes
I waited up to 30 minutes
I waited more than 30 minutes
Don’t know / Can’t remember
6.
In your opinion, how clean was the procedure room?
Very Clean
Fairly Clean
Not very clean
Not at all clean
7.
Did the health professional treating and examining you introduce themselves?
Yes
No
Don't know / Can't remember
8.
Overall, did you feel you were treated with respect and dignity while you were at the laboratory?
Definitely
For the most part
Somewhat
Not at all
If you answered not at all, why not?
9.
Overall, do you feel satisfied with the overall quality in the services of the laboratory?
Definitely
For the most part
Somewhat
Not at all
If you answered not at all, why not?
10.
Would you recommend the CMH Laboratory to a friend or family member?
Definitely
Probably
Probably not
Definitely not
If you answered probably or definitely not, why?
11.
Is there anything else you would like to share about your visit to the laboratory?
12.
Please leave your name and phone number if you would like someone to call you. (Skip this question if not)
