Patient Experience Questionnaire 2022

Thank you for providing feedback on our services at CCFP.

This form will only take between 5-10mins to complete.

We are seeking this feedback as a part of our accreditation activities, and so we can improve our service delivery.

HINT: This form is best with your phone in landscape mode!

PoorFairGoodVery GoodExcellentN/ADon't Know
Comfort of our waiting room
Waiting time after you arrived at the clinic
Getting reminders for your visit
PoorFairGoodVery GoodExcellentN/ADon't Know
Were welcoming upon your arrival
Were courteous and polite
Let you know about any delays while you were waiting
PoorFairGoodVery GoodExcellentN/ADon't Know
Treated with respect
Cared about you as a person
Showed sensitivity to your concerns
PoorFairGoodVery GoodExcellentN/ADon't Know
The amount of useful information given about our condition
Information about how to stay healthy
Information about how to prevent future health problems
PoorFairGoodVery GoodExcellentN/ADon't know
Privacy in the waiting area
Being able to discuss personal issues that were sensitive
Asked your permission before another clinican came to the appointment
PoorFairGoodVery GoodExcellentN/ADon't Know
Knew your medical history
Coordinated different healthcare professionals
Allowed you to have the final choice about which other professionals to see