Facility - None -Campbellton Regional HospitalChaleur Regional HospitalDr. Georges-L.-Dumont University Hospital CentreEdmundston Regional HospitalEnfant-Jésus RHSJ† HospitalGrand Falls General HospitalHôtel-Dieu Saint-Joseph de Saint-QuentinStella-Maris-de-Kent HospitalTracadie-Sheila Hospital How long did you wait before you were seen by the triage nurse? 0-15 min 16-30 min 31-60 min more than 60 min Were you able to discuss your problem privately with the triage nurse, without other people hearing you? Yes, definitely Yes, to some extent No From when you first arrived at the Emergency, how long did you wait before being examined by a doctor? I didn’t have to wait 1-30 min 31-60 min 1-2 h 2-4 h more than 4 h I left before seeing a doctor Did the staff introduce themselves, stating their name and role, before examining you? Yes, always Yes, sometimes Never Did you have enough time to discuss your health problem with the staff? Yes, definitely Yes, to some extent No Did the staff listen to what you had to say? Yes, definitely Yes, to some extent No Was your privacy respected by the staff during treatments or examinations? (e.g. closed the door, pulled the curtain) Yes, definitely Yes, to some extent No Did the staff explain your condition and treatments in a way you understood? Yes, definitely Yes, to some extent No I didn’t need any explanations Were you able to get help from the staff, if necessary? Yes, always Yes, sometimes No, I couldn’t find a staff member to help me A staff member was with me all the time I didn’t need any help Were you involved as much as you wanted to be in decisions about your care? Yes, definitely Yes, to some extent No I wasn’t well enough to be involved Were the results of the tests you had during your visit explained to you? (e.g. X-rays, blood tests) Yes, definitely Yes, to some extent No The results were not available I had no tests done Before giving you a medication, did the staff tell you what it was for? Yes, always Yes, sometimes Never I wasn’t given any medication Did the staff manage to control your pain? Yes, definitely Yes, to some extent No I had no pain In your opinion, how clean was the Emergency Department? Very clean Fairly clean Not very clean Not clean at all During this visit to the Emergency, did the staff treat you with respect and dignity? Yes, always Yes, sometimes No Did you notice the staff washing or disinfecting their hands before caring for you? Yes, always Yes, sometimes Never I didn’t notice I didn’t see any facilities for washing/disinfecting hands Did the staff check your identification band before giving you medication or performing treatments/tests? Yes, always Yes, sometimes No I don't remember Before leaving the Emergency, did the staff explain the reason and side effects of new prescribed medications? Yes, definitely Yes, to some extent No I wasn’t prescribed any new medication Did a staff member tell you about signs and symptoms to watch for at home regarding your health problem or treatment? Yes, definitely Yes, to some extent No No, I didn’t need this information No, I was admitted Did a staff member tell you who to contact if you were worried about your health condition or treatment after you left the Emergency? Yes No How often did you receive the service you needed in the official language (English or French) of your choice at the Emergency? Always Usually Sometimes Never Overall, how was your experience in the Emergency? 0 being the worst experience and 10 the best 012345678910 Comments: Optional Name Telephone Thank you for taking the time to complete this survey!