We are soliciting your opinion on the services provided at the Polyclinic. Your feedback is very important to us as it will help us to identify areas for improvement and increase patients’ satisfaction.
Thank you in advance for your time.
Use the following scale to choose the most appropriate number for each statement:
Department:
—Please choose an option—Walk-In ClinicFamily Medicine DepartmentCardiology DepartmentSpecialty DepartmentLaboratoryNorth York Pulmonary Function CentreNorth York Sleep and Diagnostic CentreNorth York Endoscopy CentreVasectomy Clinic
How often do you refer patients to the Polyclinic?
More than once a dayOnce a dayOnce a monthMore than once a monthOnce a yearLess than once a year
How satisfied were you with the time it took to get an appointment?
1. Poor2. Fair3. Good4. Very Good5. ExcellentN/A
How satisfied were you with the time to receive the written results?
How satisfied were you with the quality of the results?
What kind of feedback do you generally receive from your patients about Polyclinic?
Your overall satisfaction with the Polyclinic and the interactions you have had with the staff?
Any additional comments?
