Sunset Country Family Health Team Patient Experience Survey
We ask that you please take a few minutes to fill out this survey to help us improve care. Your answers will be kept confidential and participation is voluntary.
I am completing this survey: *
What is your primary care location: *
On your most recent visit:
What type of provider did you have an appointment with? *
What is the name of the provider that you saw on your most recent visit? *
What type of visit did you have? *
Do you think the wait time between the day you booked the appointment and the appointment date was reasonable? *
How was your experience when you were making an appointment? *
How was your experience with the reception staff? *
Were there any barriers accessing services (e.g., hours of service, transportation, parking, accessibility)? *
If you answered YES to the above questions, please provide details.
The last time you were sick, how many days did it take from when you first called to make an appointment with your doctor or nurse practitioner to when you actually had a visit with them or someone else in their office? *
Over the last year:
When you see your doctor, nurse practitioner, or someone else in the office, how often do they spend enough time with you? *
When you see your doctor, nurse practitioner, or someone else in the office, how often do they give you an opportunity to ask questions about recommended treatment? *
When you see your doctor, nurse practitioner, or someone else in the office, how often do they involve you as much as you want to be in decisions about your care and treatment? *
What could we do differently to involve you more in decisions about your care?
If you received care virtually (i.e., video or phone call) in the last year, how was your overall experience? *
If you received care virtually in the last year, how was your experience of care compared to an in-person visit?
Clear selection
If you received care virtually, how likely is it that you would recommend it to friends or family?
Clear selection
What would be your preferred appointment method with your provider in the future? *
If you answered OTHER to the above question, please provide details.
Do you feel empowered about your health care after an appointment with your provider? *
How many times did you go to the Emergency Department in the last year, instead of your doctor or nurse practitioner? *
Did you receive health care at other agencies in the last year (e.g., WNHAC, Northwestern Health Unit, Canadian Mental Health Association, Physiotherapy)? *
Did you receive health care from a specialist in the last year? *
How often was information about your care shared efficiently between relevant providers? *
At anytime in the past year have you delayed or declined making an appointment with your health care provider because of COVID-19? *
How would you describe your overall health? *
Please select your age
Clear selection
Is there anything we can do to make your experience better?
How many times did you see your healthcare provider at either the Sunset Country Family Health Team, Keewatin Medical Clinic, Kenora Medical Associates, or Docside Clinics in the last year? *
Do you wish to be contacted regarding this survey? *
If you answered YES to any of the above questions, please provide your name and contact information.
Thank you for completing this survey!
This information will be used only to contact you if you have indicated above that you wish to be contacted regarding this survey. This information will not be shared with any healthcare providers and will not influence your quality of care.
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