Meeting/Committee Satisfaction Survey

Event Name:(Required)

Meeting Date(Required)

Participant Name (Optional)

Please check the group that represents you(Required)

Please select the number that best reflects your assessment of each of the following(Required)

	1	2	3	4	5
1. Participation at the meeting has facilitated an improvement (direct or indirect) in services at my facility.
2. Participation at the meeting was information and contributes to MSA priorities: a) Improved quality of care; b) Improve physician and staff experience; c) Building relationships; d) Strengthening MSA and FE structures *
3. Participation at the meeting gave me the opportunity to improve communication with my colleagues (physicians, allied health and HA staff).
4. Continued participation at the meeting will contribute to change and improve relationships and collaboration at our facility.
5. I will continue to participate in the meeting and would influence and recommend attendance to my colleagues.

6. Please identify the level of engagement that characterized your role in the meeting(Required)

I was informed by being provided with information on a activity, project or policy

I was consulted to obtain feedback on key decisions or activities, and informed (or will be informed) of how my feedback will be used

I collaborated with decision makers to provide my advice, leadership and recommendations on a project, activity, or policy

I was empowered to be a joint partner in decision-making on a project, activity, or policy

7. General comments, and feedback for improving the meeting(Required)

This field is for validation purposes and should be left unchanged.

November 19, 2024