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Client Experience Survey

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We’d love to hear from you!

All of our staff members and volunteers strive to make every client experience the best it can be.

In order to support you in achieving your best possible health and wellbeing, we need to know what you think about the services you’ve received within the past year. Please answer all the questions. Your honest opinion will help us make our services better! If you have any questions about this survey, please contact: Beth Kominek at 519-397-5455 or beth.kominek@ckchc.ca.

Please answer the questions below if you come to the Health Centre for appointments with a Doctor or Nurse Practitioner.

  • Which CKCHC site do you receive services at? * Required
  • The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to connect to your doctor or nurse practitioner to when you actually spoke to him/her or someone else in their office? * Required
  • Were you able to have that health problem addressed in a timely manner that you felt was appropriate? * Required
  • When you connect with 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? * Required
  • When you connect with your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about the recommended treatment? * Required
  • Do you feel comfortable and welcome as a patient of the CKCHC? * Required
  • This field is for validation purposes and should be left unchanged.

We would love to hear from you!

Take our Client Experience Survey
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