Client Satisfaction Survey Question Title * 1. First & Last Name (Optional) Question Title * 2. Phone Number (Optional) Question Title * 3. Email (Optional) Question Title * 4. Which community and/or clinic did you visit today? Atikameksheng Anishnawbek Sagamok Anishnawbek Serpent River First Nation Mississauga First Nation Thessalon First Nation Garden River First Nation Batchewana First Nation Sault Ste. Marie Indigenous Friendship Centre Clinic Northwood Recovery/Maamwesying Addictions Clinic SSM Northern Clinic at 3 Maple Street in Wawa Northern Clinic at Michipicoten First Nation Medical Centre Northern Clinic at Chapleau Cree First Nation Health Centre Northern Clinic at Brunswick House First Nation Health Centre Question Title * 5. Who did you see today? Doctor Nurse Practitioner Dietitian Diabetes Nurse Traditional Healer Physiotherapist Occupational Therapist Rehab Assistant Counsellor Addictions Nurse Other (please specify) Question Title * 6. When you needed your appointment, how long did it take for you to see your health care provider? Same Day Next Day 2-19 Days 20 or More Don't know Question Title * 7. During your visit today, how often did your health care provider involve you as much as you wanted to be involved in decisions about your care? Always Often Sometimes Rarely Never Question Title * 8. During your visit today, did your health care provider tell you about an other services we offer at Maamwesying? Yes No Question Title * 9. Do you feel we met your needs today? Yes No Question Title * 10. General Feedback, Recommendations, Concerns/Compliments Miigwetch for your taking the time to complete this survey. Your experience is important to us. Done
