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For each statement, please check the box that corresponds to the degree to which you agree or disagree.
There are no right or wrong answers.
1 = strongly agree 2 = agree 3 = disagree 4 = strongly disagree 5 = N/A
ATTITUDE OF THE TEAM MEMBERS
The team was curteous and polite.
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Our privacy was respected.
Our personnal information was kept confidential.
The team was present and available to respond to our needs.
QUALITY OF THE ENVIRONMENT
La Maison Au Diapason was a calm environment.
The room was adapted to our needs.
The common areas were accessible.
La Maison Au Diapason was kept clean and well maintained.
QUALITY OF CARE AND SERVICES
We received a warm welcome and were given the information and support we needed upon arrival.
My pain / my loved one’s pain was well managed.
Symptoms were well managed (for example:nausea, vomiting, anxiety, constipation, etc.).
There was good continuity of care throughout our stay (for example: we didn’t need to repeat the same information day after day).
I / my loved one was cared for safely and securely (for example: the caregivers washed their hands prior to entering and upon leaving his room).
Caregivers took the time to explain the disease and its evolution, care objectives and medication in plain language.
Caregivers were sensitive to our needs; I felt listened to and cared for.
Dietary needs were met (for example: the availability of an adapted diet).
Special requests were respected (for example: calls transferred to the room, limited visiting hours).
GENERAL EVALUATION
Overall, I am satisfied with the care and services at La Maison Au Diapason.
Please provide any additional feedback to assist us in our efforts to improve the quality of care and services offered at La Maison Au Diapason.
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