FNE/SANE Program Care Experience Survey

Thank you for taking the time to complete this survey.

Your feedback is important to us. It helps us understand what we are doing well and identify opportunities to improve the care and support provided through the Forensic Nurse Examiner (FNE)/Sexual Assault Nurse Examiner (SANE) Program.

The information you provide will be used for quality improvement, program planning, staff education, and to help ensure our services continue to meet the needs of individuals who access our care. Responses may also be used in an anonymous, summarized format to evaluate and improve FNE/SANE services across Horizon Health Network.

Please answer only the questions you feel comfortable answering. You may skip any question at any time.

At which Horizon facility did you receive FNE/SANE care?

About You

What is your Age?

Under 16

16-24

25-34

35-44

45-54

55-64

65+

Prefer not to answer

What is your gender identity?

Woman

Man

Non-binary

Two-Spirit

Transgender

Questioning/Not sure

Prefer not to answer

Other (please specify)

Did you identify any of the following as important to your care?

Indigenous identity

Cultural or spiritual support

Language interpretation

Disability or accessibility accommodations

None of the above

Prefer not to answer

Other (please specify)

About Your Care Experience

For the following questions, please select the response that best reflects your experience.

I felt safe, respected, and supported throughout my care.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

Comments (optional)

Maximum 5,000 characters

0/5,000

The forensic nurse listened to me, treated me with dignity, and addressed my concerns.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

Comments (optional)

Maximum 5,000 characters

0/5,000

I felt I had choices and control throughout my care.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

10.

Comments (optional)

Maximum 5,000 characters

0/5,000

11.

I understood the options available to me regarding my care (for example: evidence collection and storage, reporting options, medical treatment, and follow-up care).

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

12.

Comments (optional)

Maximum 5,000 characters

0/5,000

13.

I received information about referrals, follow-up services, and community resources that were relevant to my needs.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

14.

Comments (optional)

Maximum 5,000 characters

0/5,000

15.

My cultural, language, accessibility, or personal needs were respected and supported during my care.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Not Applicable

Prefer Not to Answer

16.

Comments (optional)

Maximum 5,000 characters

0/5,000

17.

I was able to access FNE/SANE services when and where I needed them.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Not Sure/Don't Recall

Prefer Not to Answer

18.

Comments (optional)

Maximum 5,000 characters

0/5,000

Access to Care

19.

Did you have to travel or be transported to another location to receive FNE/SANE services?

Yes

Don't Recall

Prefer Not to Answer

20.

How did you learn about or get connected with the FNE/SANE Program?

Friend or Family Member

Hospital Staff

Law Enforcement

Social Development / Child Protection Services

Community Outreach Worker or Community Program

Self-Referral

Primary Care Provider

Not Sure/Don't Recall

Prefer Not to Answer

Other (please specify)

21.

Did you have to wait for FNE/SANE care?

Yes

Don't Recall

Prefer Not to Answer

Follow-Up Care

22.

Did you receive follow-up care from the FNE/SANE Program?

Yes

Not Applicable

Not Sure/Don't Recall

Prefer Not to Answer

23.

Comments (optional)

Maximum 5,000 characters

0/5,000

Overall Experience

24.

Overall, how would you rate the care and support you received from the FNE/SANE team?

Poor

Fair

Good

Very Good

Excellent

Not Sure/Don't Recall

Prefer Not to Answer

25.

Comments (optional)

Maximum 5,000 characters

0/5,000

26.

Based on your experience, would you recommend FNE/SANE services to someone who needed this type of care?

Definitely Not

Probably Not

Not Sure

Probably Yes

Definitely Yes

Prefer Not to Answer

27.

Comments (optional)

Maximum 5,000 characters

0/5,000

28.

Is there anything we could have done differently to improve your experience?

Maximum 5,000 characters

0/5,000

Additional Feedback

29.

Please share any additional comments, concerns, suggestions, or positive feedback about your experience. Your perspective helps us improve care for others accessing FNE/SANE services in the future.

Maximum 5,000 characters

0/5,000