Help Provide a Provincial Overview of the Patient/Client Virtual Care Experience!

Thank you very much for participating in the Provincial Initiative to collect the patient experience with virtual care in team-based care models. Below are listed all the questions from the survey provided. Participation in this initiative is voluntary, if you choose to participate please provide aggregate sums for the date range of submission. You may report on any of the questions, however if you choose to report on the core questions only those include:  2, 3, 5, 7, 8.

A minimum of 5 responses per question will be required for the submission of aggregate results. At the end of June 2021, an aggregate report will be generated with the findings from this survey without any identification of practices. This data will not be used for practice-level funding or public reporting and will only be used to support planning and quality improvement at a regional and provincial-level.

Please report all numbers as whole numbers. 

Thank you very much for your participation!

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* Please select the OH Region of the your practice:

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* What is the date range the results of the survey were collected?

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* Team Name (only share if you wish to)?

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* Please enter the total number of survey responses you are entering (the number of patients that responded to the survey)

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* How many patients was the survey sent out to? (This will be used to calculate the response rate)

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* Will you be reporting on the core questions only?

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