Quality survey - User satisfaction: CISSS de la Côte-Nord

Quality survey – User satisfaction

Satisfaction des usagers

1. Age

2. Sex

Female

Male

3. Municipality in which you received care of services

4. Sector in which you received care or services

5. Behaviour of the staff (respect and politeness)

6. Accessibility to care or services (approach, delays, etc.)

7. Explanation of the functioning of care or service (rules)

8. Importance given to your opinion and to the one of your family

9. Condition of the premises (cleanness and safety)

10. Fitting of the premises (suitable for confidentiality, functionality and comfort)

11. Respect hygiene principles (handwashing, clean care surfaces, etc.)

12. Quality of care or services received

13. Time allowed by the staff

14. Overall experience

15. Would you recommend this service to your close ones?

16. What are your expectations for the improvement of care or services?

17. Please write down your comments or the situation experienced in details

Name, email and/or telephone