Government of Manitoba Survey
 
Canadian Patient Experiences Survey - Inpatient Care

Survey Instructions:

You should fill out this survey only if you were the patient named on the envelope.  You may need to get help from a family member to answer the questions, and that's okay.


Answer all the questions by clicking the circle next to your answer.

Your response to this survey is voluntary but will provide us with important information.

Please note that because the survey is anonymous, staff members are not able to respond to concerns written in the survey.  Please call your regional health authority at the phone number listed in the survey cover letter if you would like to discuss your care with someone.