FEEDBACK | TAKE OUR SURVEY How Are We Doing? Feedback & Complaint Policy DFHT Survey1. What type of provider did you see today? Physician / Nurse Practitioner Social Worker / Dietitian / Nurse2. For your appointment today, did you get an appointment on the date you wanted? Yes No3. How many days did it take from when you first tried, or were contacted, to see your Family Health Team Member to when you actually saw him/her? Same day Next day Between 2-19 days (Please specify in comment box) 20 or more days No comment Comment Box4. Thinking about your most recent visit, on a scale of poor to excellent, how would you rate the following …?4 a) Your overall experience with our office staff? Poor Fair Good Very Good Excellent4 b) The length of time it took between making your appointment and the visit you just had? Poor Fair Good Very Good Excellent5. When you see your Family Health Team Member, how often does he/she...5 a) Give you an opportunity to ask questions about recommended treatment? Poor Fair Good Very Good Excellent5 b) Involve you as much as you want to be in decisions about your care and treatment? Poor Fair Good Very Good Excellent5 c) Spend enough time with you? Poor Fair Good Very Good Excellent6. Thinking about the MAIN health care provider you spoke with during your most recent visit, how would you rate this person on the following…..?6 a) They listened to your concerns Poor Fair Good Very Good Excellent6 b) They explained things in a way that was easy to understand Poor Fair Good Very Good Excellent6 c) They were sensitive to your needs and preferences Poor Fair Good Very Good Excellent6 d) Your overall experience speaking with the health care provider about the reason for your visit Poor Fair Good Very Good Excellent7. Please rate your overall satisfaction with your most recent appointment: Poor Fair Good Very Good Excellent8. Would you recommend our services to your family or friends? Yes No9. Is there any additional information or feedback you would like to share with us that could help us improve the way we provide care? Submit Form Feedback & Complaint Policy
105 Main St. of Delhi, ON N4B 2L8
519-582-2323
