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Patient Experience Survey
Resolving Care Concerns
Patient Survey
1.
Please tell us who your Physician is.
Select...
Dr. Susan George
Dr. Russ Ashton
Dr. Alison Delorme
Dr. Jay Geddes
Dr. Sarah Pengelly
Dr. Mekalai Kumanan
Dr. Amany Attalla
Dr. Prabhu Benjamin
Dr. Ioana Costin
Dr. Keith Hankinson
Dr. Tracy Hughes
Dr. Matthias Klomfass
Dr. Maryse Mazerolle
Dr. Kate Morgan
Dr. Melissa Schurter
Dr. Laura Siddall
Dr. Deborah Whan
Dr. Taryn Williams
Dr. Jennifer Coulson
Dr. Kunal Jagoowani
Dr. Andrew Smith
2.
The last time you were ill, how many days did it take from when you first tried to see a Physician or Nurse Practitioner to when you actually saw him/her or someone else in the office?
Same Day
Next Day
2-19 Days
20 Days or longer
Not applicable
3.
When you see your Physician or Nurse Practitioner, how often do they or someone else in the office give you the opportunity to ask questions about recommended treatment?
Always
Usually/Often
Sometimes
Rarely
Never
Not Applicable
4.
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?
Always
Usually/Often
Sometimes
Rarely
Never
Not Applicable
5.
When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you?
Always
Usually/Often
Sometimes
Rarely
Never
Not Applicable
6.
How satisfied are you with contacting our clinic?
Always
Usually/Often
Sometimes
Rarely
Never
Not Applicable
7.
How satisfied are you with your overall experience with our reception staff?
Always
Usually/Often
Sometimes
Rarely
Never
Not Applicable
8.
Do you consider the amount of time you usually have to wait to get an appointment with your health care provider reasonable?
Yes
Somewhat
No
9.
Any further comments:
