CSCE Client Experience Survey

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* 1. At which location do you access services?

Alexandria

Bourget

Cornwall

Crysler

Embrun

Limoges

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* 2. The programs and services provided by the Centre de santé communautaire de l’Estrie meet your needs.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 3. The employees at the Centre de santé communautaire de l’Estrie help you find community programs and services that meet your needs.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 4. You are able to obtain services in the language of your choice.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 5. When required, you are able to book an appointment for an urgent matter with a doctor or nurse practitioner at the Centre de santé communautaire de l’Estrie.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 6. The last time you were sick or concerned about a health problem, you were able to book an appointment on a day that suited you.

Yes

Does not apply

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* 7. The last time you were sick or concerned about a health problem, how many days elapsed between the time you tried to see your doctor or nurse practitioner and the time you actually SAW him/her or someone else at the Centre de santé communautaire de l’Estrie?

Same day

Next day

Two days later

Three days later

More than three days later

Does not apply

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* 8. What can the Centre de santé communautaire de l’Estrie do to improve access to its programs and services?

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* 9. In your opinion, your doctor or nurse practitioner involves you in the decisions that affect your care and treatment.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 10. You feel comfortable and welcomed at the Centre de santé communautaire de l’Estrie.

Always

Often

Sometimes

Rarely

Never

Does not apply

If you answered “Sometimes”, “Rarely” or “Never” to the previous question, please explain why you feel this way.

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* 11. In your opinion, the employees at the Centre de santé communautaire de l’Estrie respect your differences (cultural, physical, intellectual, religious, sexual orientation, gender identity, etc.).

Always

Often

Sometimes

Rarely

Never

Does not apply

If you answered “Sometimes”, “Rarely” or “Never” to the previous question, please explain why you feel this way.

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* 12. In your opinion, the Centre de santé communautaire de l’Estrie takes your confidentiality and privacy seriously.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 13. When you are at the Centre de santé communautaire de l’Estrie, you worry that other people may overhear your private conversations.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 14. You trust that your personal health information is adequately protected.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 15. In general, when you arrive at the Centre de santé communautaire de l’Estrie for an appointment, someone comes to get you:

Prior to your scheduled appointment

At the appointed time

Less than 10 minutes past your scheduled appointment

10-19 minutes past your scheduled appointment

20-29 minutes past your scheduled appointment

30 minutes or more past your scheduled appointment

Special Section Regarding COVID-19 Pandemic Management Practices

Since March 2020, services provided at the Centre de santé communautaire de l’Estrie have been significantly affected by the COVID-19 pandemic. Mandatory social distancing measures and restrictions implemented primarily resulted in a fewer number of face-to-face visits with your health care professional.

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* 16. How would you rate the impact of the changes implemented to our services due to the COVID-19 pandemic on your health in general?

Very positive

Positive

Very negative

Negative

No impact

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* 17. Did you receive any telephone consultations from a health care professional at the Centre de santé communautaire de l’Estrie?

Yes

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* 18. If you received telephone consultations from a health care professional at the Centre de santé communautaire de l’Estrie, please indicate from whom (check all boxes that apply).

Doctor

Nurse practitioner

Nurse

Dietitian

Diabetes educator from the Diabetes Education Program

Psychologist

Mental health therapist

Community health worker

Health promoter

Chiropractor

Does not apply

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* 19. If you received telephone consultations from a health care professional at the Centre de santé communautaire de l’Estrie, how satisfied were you with the services provided?

Very satisfied

Satisfied

Somewhat satisfied

Dissatisfied

Very dissatisfied

Does not apply

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* 20. Did you receive any face-to-face virtual consultations via video conferencing platforms like Zoom or the Ontario Telemedicine Network (OTN) from a health care professional at the Centre de santé communautaire de l’Estrie?

Yes

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* 21. If you received face-to-face virtual consultations from a health care professional at the Centre de santé communautaire de l’Estrie, please indicate from whom (check all boxes that apply).

Doctor

Nurse practitioner

Nurse

Dietitian

Diabetes Educator from the Diabetes Education Program

Psychologist

Mental health therapist

Community health worker

Health promoter

Chiropractor

Does not apply

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* 22. If you received face-to-face virtual consultations from a health care professional at the Centre de santé communautaire de l’Estrie, how satisfied were you with the services provided?

Very satisfied

Satisfied

Somewhat satisfied

Dissatisfied

Very dissatisfied

Does not apply

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* 23. If you came to see a health care professional at the Centre de santé communautaire de l’Estrie, how would you rate the safety level of its premises?

Very safe

Safe

Unsafe

Very unsafe

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* 24. How frequently have you visited the Centre de santé communautaire de l’Estrie’s website in the past?

Often

Sometimes

Rarely

Never

I was not aware the CSCE had a website.

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* 25. When you visit the Centre de santé communautaire de l’Estrie’s website, you can easily find the information you are looking for.

Always

Often

Sometimes

Rarely

Never

Does not apply

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* 26. Have you visited the Centre de santé communautaire de l’Estrie’s website to obtain information regarding COVID-19 pandemic management practices?

Yes

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* 27. If you answered “Yes” to the previous question, how satisfied were you with this information?

Does not apply

Very satisfied

Satisfied

Somewhat satisfied

Dissatisfied

Very dissatisfied

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* 28. We welcome any comments you may have regarding COVID-19 pandemic management practices implemented at the Centre de santé communautaire de l’Estrie and the impact the changes have had on the services provided.

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* 29. Please indicate your age.

12-17

18-24

25-34

35-49

50-64

65-75

75 and over

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* 30. Which of the following best describes your gender?

Female

Male

Intersex

Trans – male-to-female

Trans – female-to-male

Two-spirit

I do not know

I prefer not to answer

Other (please specify):

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* 31. What was your household’s annual income last year?

Less than $15,000

$15,000 - $30,000

$30,000 - $45,000

$45,000 - $60,000

$60,000 - $75,000

$75,000 - $100,000

More than $100,000

I prefer not to answer

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* 32. How long have you been a client at the Centre de santé communautaire de l’Estrie?

Less than 6 months

6-12 months

1-2 years

3-4 years

5-10 years

More than 10 years

Thank you!

In an effort to better serve you, clients may be invited to participate in community forums so they can share what they like about the programs and services provided by the Centre de santé communautaire de l’Estrie and make suggestions for improvements.

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* 33. IF YOU PREFER YOUR ANSWERS TO REMAIN ANONYMOUS, YOU MAY CHOOSE NOT TO SHARE YOUR CONTACT INFORMATION BELOW.

Name

E-mail

Telephone