- St. Joseph's Health CentreOutpatient ServicesSatisfaction Questionaire

You are invited to participate in our survey. It will take approximately 10 minutes to do and will be very helpful in our quest to consistently improve our service to our community.Your participation in this study is completely voluntary, however your views are important to us. No signature or identifiers are necessary unless a response is requested.

1.

	Rehab Services (Physiotherapy, Occupational Therapy, Driver Assessment Program, Falls Clinic	Speech Language Pathology	Audiology	Outreach Services (Out'n About, Alzheimer Day Program, ABI)	Ambulatory Care Clinics (Bone Density, Osteoporosis Care, Physician Visits, Nursing Services)
This questionaire is in response to a visit to

2.

	Strongly Agree	Agree	Disagree	Strongly Agree	Not Applicable
I/my family member knew where to go when I arrived because of clear telephone instructions

3.

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
When I/my family member arrived, signs made it clear where I/my family member should go

4.

5.

6.

	less than 10 minutes	more than 10, less than 20 minutes	more than 20 minutes, less than 30 minutes	more than 30 minutes	not applicable
I waited to be seen by the therapist/nurse/technologist/doctor for

7.

8.

9.

10.

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
I had a clear understanding of the goals of therapy as explained by my therapist/doctor/nurse/worker

11.

12.

13.

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
I felt reassured that the treatment/ assessment I received was pertinent to my reason for attending

14.

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My therapist/technician/nurse/worker/Doctor listened to my concerns and answered any questions I had

15.

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My therapist/technologist/nurse/Doctor/worker was learned and skilled in their craft.

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