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Chapleau Hospital buildings
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Thank you for completing our various surveys. Please note that all surveys and comments are completely confidential and secure. All responses are directly forwarded to the office of the CEO.

Survey form checkboxes and pen

Online Short Form Surveys

Outpatient Patient Experience Survey

Emergency Department Patient Experience Survey

Adult Inpatient Experience Survey

Pediatric Inpatient Experience Survey - Caregiver version

Online Long Form Surveys

Emergency Visit Satisfaction Survey

Inpatient Satisfaction Survey

Printable Long Form Surveys

Surveys can be dropped off at Reception/Admitting, be left in the drop box by the main entrance or mailed to:

Services de santé de Chapleau Health Services
ATTN: Quality and Patient Experience Coordinator
P.O. Box 757
Chapleau ON P0M 1K0

Emergency Visit Satisfaction Survey
Inpatient Satisfaction Survey