Patient Experience Survey - NIPIGON DISTRICT FAMILY HEALTH TEAM

This survey DOES NOT include Urgent Care or Nipigon Doctor's Group services.

Nipigon District Family Health Team Providers:

Nurses, Registered Dietitian, Counsellors

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Do you feel when you needed an appointment with the Family Health Team, you were able to be seen in an acceptable time frame, from one of the above service providers?

Yes
No

Any time you see a Family Health Team provider, how often do they involve you in decisions about your care and treatment?

	Not Applicable	Never	Rarely	Sometimes	Often	Always
Please select one of the following:	Not ApplicablePlease select one of the following: Not Applicable	NeverPlease select one of the following: Never	RarelyPlease select one of the following: Rarely	SometimesPlease select one of the following: Sometimes	OftenPlease select one of the following: Often	AlwaysPlease select one of the following: Always

What is your preferred method of contact?

Email
Phone
Text

What method did you use to book your appointment?

Online
Phone
Email
In-person

Would you like to see any of the following community outreach programs? (Choose all applicable)

the the did

Other Community Outreach Program Idea

What would be your preferred time for programming?

Morning
Afternoon
Evening

Do you feel your health has improved since coming to the Family Health Team within the past year?

Yes
No

Is there anything else you'd like to tell us?

Custom Captcha

What is 7+4?