Fort Frances Family Family Health Team Patient Experience Survey 2018
You are being invited to take part in this survey because you have recently had a visit with the Fort Frances Family Health Team. It is completely voluntary and will take approximately 5 minutes to complete. All responses are confidential.
How would you describe your overall health?
In the last 12 months, including today, how often have you been in to see the doctor, nurse practitioner or chronic disease team at the Fort Frances Community Clinic?
Did you get an appointment on the day you wanted?
How would you rate your experience with booking an appointment?
Do you feel it was a reasonable wait between the day you booked the appointment and the appointment date?
How was your experience with our reception staff?
The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their office?
If you answered 2-19 days in the previous question, exactly how many days did it take?
Your answer
When you see your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about recommended treatment?
When you see your doctor or nurse practitioner, how often do they or someone else in the office involve you as much as you want to be in decisions about your care and treatment?
When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you?
In the last 12 months, how many visits have you had to the Emergency Department for your care instead of your doctor or nurse practitioner?
Were there any barriers accessing our services? (ie. hours of service, transportation, parking)
If you answered yes in the previous question, what barriers did you encounter accessing our services?
Your answer
How could we make your experience better?
Your answer
Thank you for completing this survey. Please enter the date.
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service