Questionnaire :: WCHC | Woolwich Community Health Centre

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QUESTIONNAIRE

PLEASE PROVIDE US WITH YOUR THOUGHTS ON THE NURSE PRACTITIONER ROLE AT WCHC

As members of the Primary Care team, Nurse Practitioners have advanced education and decision-making skills which permit them to address many of your health care needs. They can order certain tests, drugs and treatments and consult with a physician from the Primary Care team if a medical problem goes beyond the NP’s scope of practice. Their scope of practice is governed by the College of Nurses and various Health Care Acts.

Nurse Practitioners are also involved in a variety of educational activities for which they provide ongoing clinical support. They consult with community resources or other agencies to promote your needs or support your efforts if necessary; in other words they advocate for you.

As part of the Woolwich Community Health Centre’s ongoing interest in how you perceive your care, we would like to ask for your thoughts about the Nurse Practitioners’ services. Please take a moment to answer the following questions. Your responses will help us evaluate the care you receive from our NPs, as well as your understanding of their role.

1.	Are you a registered client at WCHC or WTCHC?	Yes No

2.	Did you know that registered clients can see the NP for your health care needs?	Yes No

3.	For what type of health care issues have you used the NP Services? (check all that apply) Common Illness (e.g. Sore Throat) Healthy Lifestyle Counselling Chronic Illness (e.g. Diabetes) Smoke Cessation Prenatal/Post Partum Care Well Baby/Child Care Annual Physicals None Other:

4.	Has the NP provided the following for you: (check all that apply) Referral To Other Providers (e.g.. Dietitian, Social Worker) Referral To Specialist Assistance In Accessing Community Services Been the leader in a group program: Health Education Sessions Gesundheit Fur Kinder HUGS (Parents And Tots) Diabetes Health Fair Other:

5.	How satisfied have you been with your Nurse Practitioner’s services? Very satisfied Satisfied Not satisfied Comments

6.	How can your NP work with you to be the healthiest you can be? We welcome any comments or suggestions.

Thank you for taking the time to give us your feedback.