Patient Experience Survey 2020-2021

Please take a few seconds to fill out our anonymous survey. Your participation helps us improve our services.

Question Title

* Which of the following is your family doctor?

Dr Claveau

Dr Fragiskos

Dre Gauvin

Dr Papineau

Dre Ranger

Dre Talbot-Lemaire

Question Title

* In the past 12 months, when you were sick or concerned about your health:

	Same Day	Next Day	2-19 days	20 days or more	Not Applicable
How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual?	How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual? Same Day	How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual? Next Day	How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual? 2-19 days	How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual? 20 days or more	How many days did it take from when you first tried to see your doctor to when you had a consultation in person, by telephone or virtual? Not Applicable
How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison)	How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison) Same Day	How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison) Next Day	How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison) 2-19 days	How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison) 20 days or more	How many days did it take from when you first tried to see a health provider at the Family Health Team to when you had a consultation in person, by telephone or virtual? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations liaison) Not Applicable

Question Title

* In the past 12 months, when you consulted your doctor, did you feel you were sufficiently involved in the decisions regarding your healthcare?

Never

Rarely

Sometimes

Often

Always

Not Applicable

Never

Rarely

Sometimes

Often

Always

Not Applicable

Question Title

* In the past 12 months, when you consulted a health provider at the Nord-Aski Family Health Team, did you feel you were sufficiently involved in the decisions regarding your healthcare? (Nurse, Mental Health Worker, Dietitian, Patient Navigator and First Nations Liaison)

Never

Rarely

Sometimes

Often

Always

Not Applicable

Never

Rarely

Sometimes

Often

Always

Not Applicable

Question Title

* How would you rate the following elements?

	Poor	Fair	Good	Very Good	Excellent
Experience before your appointment (reception, wait time, etc.)	Experience before your appointment (reception, wait time, etc.) Poor	Experience before your appointment (reception, wait time, etc.) Fair	Experience before your appointment (reception, wait time, etc.) Good	Experience before your appointment (reception, wait time, etc.) Very Good	Experience before your appointment (reception, wait time, etc.) Excellent
Experience during your appointment (feeling respected, understood, etc.)	Experience during your appointment (feeling respected, understood, etc.) Poor	Experience during your appointment (feeling respected, understood, etc.) Fair	Experience during your appointment (feeling respected, understood, etc.) Good	Experience during your appointment (feeling respected, understood, etc.) Very Good	Experience during your appointment (feeling respected, understood, etc.) Excellent
Experience after your appointment (follow-up, lab results, etc.)	Experience after your appointment (follow-up, lab results, etc.) Poor	Experience after your appointment (follow-up, lab results, etc.) Fair	Experience after your appointment (follow-up, lab results, etc.) Good	Experience after your appointment (follow-up, lab results, etc.) Very Good	Experience after your appointment (follow-up, lab results, etc.) Excellent

Question Title

* Please provide any additional comment in the box below.

Thank you for your collaboration.