Patient Survey Please take a few moments to complete our Patient Survey. Please enable JavaScript in your browser to complete this form.1. Who are you completing the survey about? *DoctorNurse PractitionerIf you selected Doctor above, select a name(select)Dr. Ghazanfar AhmedDr. Brian BassilDr. David DecDr. Wilson LeungDr. Alison MacTavishDr. David Rosa2. The last time you were sick, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their office? *Same DayNext Day2-19 Days20 Days or longerNot applicable* If 2-19 days, enter number of days3. When you see your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about recommended treatment? *AlwaysUsually/OftenSometimesRarelyNeverNot applicable4. When you see your doctor or nurse practitioner, how often do they or someone else in the office involve you as much as you want to be in decisions about your care and treatment? *AlwaysUsually/OftenSometimesRarelyNeverNot applicable5. When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you? *AlwaysUsually/OftenSometimesRarelyNever6. How satisfied were you with the length of time waiting during your most recent appointment with your family doctor or nurse practitioner? *Extremely satisfiedVery satisfiedFairly satisfiedSomewhat satisfiedNot at all satisfiedNameSubmit Thank you for participating in our Patient Survey!
