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MSERT Feedback Form
MSERT strives to provide the best possible experience for patients and bystanders who interact with our responders. We value feedback and suggestions from those who have utilized our service, as this continuously improves our quality of care.
All feedback submitted through this form is anonymous and confidential. Written feedback will be used for internal purposes only; numerical and situational responses may be used externally only in aggregate. This information helps us revise and improve our training protocols as well as providing honest assessments of the efficacy of our service.
Please note that none of the fields are mandatory.
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In what capacity did you interact with MSERT?
Patient
Bystander
Security (McGill or event-specific)
Floor Fellow
Event organizer
Other:
How did you hear about MSERT?
Poster or business card
Social media
Floor Fellow
Friend
Previous event with MSERT present
Had not known about the service before this incident
Other:
What was the location of the interaction?
McGill residence (including MSERT residence rooms)
MSERT office
Athletic event
Non-residence McGill building
Club Venue
Other:
What injuries or medical emergencies were covered during this call?
Musculoskeletal injury
Wound care
Sudden medical issues or illness
Substance misuse
Head/spinal injury
Mental health crisis
Other:
Please evaluate your overall experience with MSERT
Very dissatisfied
1
2
3
4
5
Highly satisfied
Clear selection
Is there anything you would change about the are received?
Your answer
Please evaluate the professionalism of the responder(s) you interacted with.
Very bad
1
2
3
4
5
Very good
Clear selection
Please evaluate the communication between responder(s) and patient(s)
Poor communication that harmed treatment
1
2
3
4
5
Communication was clear, concise, and effective
Clear selection
Were any of the communication problems due to accessibility constraints, including but not limited to disabilities or linguistic/cultural barriers?
Yes
No
Clear selection
Did you have any concerns related to our handling of sensitive matters, including but not limited to gender and sexual orientation, sexual violence, or mental health?
Yes
No
Clear selection
If you answered "yes" to either of the last two questions, please explain.
Your answer
Please evaluate the demeanor of the responder(s) you interacted with. (If you interacted with more than one responder for this particular incident, use an average.)
Responders were unkind, mean, or harsh and failed to display compassion for the patient(s).
1
2
3
4
5
Responders were kind, friendly, amiable, and displayed compassion for the patient(s).
Clear selection
If the responder(s) recommended additional resources at the end of the call, how likely are you to use those resources?
I plan to use the recommended resources
Maybe
I do not plan to use the resources
Clear selection
Would you request MSERT in the future?
Yes
No
Clear selection
Please explain your answer to the last question
Your answer
Any additional feedback, comments, or suggestions?
Your answer
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