Patient Experience Survey
The Peterborough Family Health Team would like to know more about your experience as a patient of our health care team. We will be using your feedback to improve the quality of our services and make changes that we hope will exceed your expectations. Thank-you for your time.
What is the name of your provider?
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 the clinic?
20 or more days
Not applicable (don’t know/refused)
How would you rate the length of time between when you wanted to be seen and the appointment time offered?
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 the decisions about your care and treatment?
Not Applicable (Don’t know/refused)
Thinking of your overall experience with our office/clinic ...
What are two things done particularly well?
What are two things that could be improved?
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This form was created inside of Peterborough Family Health Team.