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Copy of Client Experience Survey 2020-21

Patient Experience Survey

Question Title

* 1. At what site do you see a Primary Care provider?

St. Jacobs

Wellesley

Linwood

Question Title

* 2. Are you completing this survey for yourself or for another person?

I am completing this survey for myself

I am completing this survey for another person

Question Title

* 3. If you are completing this for someone else, who are you completing it for?

I am completing this for a family member or friend

I am completing this for the patient or client

Other

Other (please specify)