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Patient Satisfaction Survey
It is our goal to meet your health care needs and provide the best possible service. Please answer this questionnaire to tell us what we are doing well and where we need to improve. All responses will be kept confidential and anonymous.
1.
Have you completed this survey in the last 12 months?
Yes
No
2.
Considering your most recent appointment, how did you connect with your provider?
Telephone
Video conference (e.g. OTN or doxy.me)
In-person
3.
How many days did it take from when you called to make an appointment to when you actually had your appointment with your doctor, or a nurse practitioner (including virtual appointments)?
Same day
Next day
2-19 days
4.
When you telephoned the clinic, were you hoping to be seen by your doctor that day (virtual or in-person)?
Yes
No
5.
Did you feel the number of days you had to wait for an appointment (including virtual appointments) was reasonable?
Yes
No
6.
When you see your doctor or nurse practitioner (virtual or in-person), how often do they or someone else in their office:
Always
Usually
Half of the time
Hardly ever
Never
a) Give you the opportunity to ask questions about recommended care and/or treatment?
Always
Usually
Half of the time
Hardly ever
Never
b) Involve you as much as you want to be in decisions about your care and treatment?
Always
Usually
Half of the time
Hardly ever
Never
7.
Thinking about your most recent visit (virtual or in-person), on a scale of excellent to poor please rate the following:
Excellent
Very good
Good
Okay
Poor
Not applicable
a. Your satisfaction with how well your care provider listened to your concerns?
Excellent
Very good
Good
Okay
Poor
Not applicable
b. Your satisfaction with how much your care provider seemed concerned about your feelings?
Excellent
Very good
Good
Okay
Poor
Not applicable
c. Your satisfaction with how courteous and helpful the person who scheduled your appointment was?
Excellent
Very good
Good
Okay
Poor
Not applicable
d. Your satisfaction with the quality of health information available to you in our waiting room
Excellent
Very good
Good
Okay
Poor
Not applicable
e. Your satisfaction with the length of time you had to wait in the reception area prior to seeing your care provider
Excellent
Very good
Good
Okay
Poor
Not applicable
f. Your satisfaction with how long you waited to speak with a receptionist when you booked your appointment.
Excellent
Very good
Good
Okay
Poor
Not applicable
g. Your overall satisfaction with your experience as a patient of this medical clinic
Excellent
Very good
Good
Okay
Poor
Not applicable
8.
Have you visited the clinic’s NEW website www.cbfht.ca in the past 3 months?
Yes
No
9.
Did you find any of the health information in the waiting room of interest/applicable to you?
Yes
No
10.
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