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  1. Surveys
  2. 2011
  3. December
  4. W
  5. West Park FHT Patient Satisfaction Survey #1
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Which Health Care Provider did you see?
 
Dr. S. Elahi
 
Dr. I. Blair
 
Dr. M. Elahi
 
J. Gilmour, NP
 
Other_________
 
 
 
Age
 
Under 18
 
18 - 30
 
31 - 45
 
46 - 60
 
61 - 70
 
71+
 
 
 
Gender
 
Male
 
Female
 
 
 
Ethnicity
 
White/Caucasian
 
Black/African Canadian
 
Asian
 
First Nations/Metis/Inuit
 
Hispanic
 
South Asian
 
Other
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Appointment time
Hours of the clinic
Convenience of location
Return of phone calls
Wait times
 
 
How satisfied are you with your health care provider regarding the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Listens to you
Takes enough time with you
Explains what you want/need to know
Give you adviec and treatment
Answers your questions
Friednly and helpful
 
 
How satisfied are you with the staff:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Friendly and helpful
Answers your questions
 
 
 
Would you refer us to your family and friends?
 
Yes
 
No
 
Maybe
 
 
 
Comments/Suggestions:
   
 
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