Feedback FormHelp SKHC improve our care and services. This survey is voluntary and completely anonymous. We appreciate your feedback.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Multiple ChoiceI am a ClientI am a Caregiver/Parent/Family Support for a clientMy age is18 years and under18 years and under19-6465 and olderHow long have you been coming to Shkagamik-Kwe Health CentreLess than 5 years5 - 10 yearsMore than 10 yearsWhat services do you use at SKHC?Doctor / Nurse PractitionerRegistered Nurse / Registered Practical NursePrenatalDietitianYouth ProgramsMidwifeMental Wellness / CounsellingSocial WorkerChiropodist - Foot CareDiabetes Education ProgramPhysiotherapistKinesiologistPatient NavigatorCommunity Health ProgramsTraditional ProgramsFASD ClinicOtherDo you feel comfortable and welcomed at SKHC?YesNoThe last time tou needed to access our services, did you get an appointment on the date you wanted?YesNoWhen you see your provider, how often do they or someone else in the office involve you as much as you want to be in decisions about your care?AlwaysOftenSometimesRarelyNeverNot applicable (Don't know / Refused)NextTell us if you aggree with the following: I know how to make a suggestion or a complaint at SKHCYesNoTell us if you aggree with the following: I understand how SKHC collects, uses and protects my personal health informationYesNoIf you have any questions or concerns about your personal health information, please ask us!NextWould you recommend SKHC to your family or friends? Definitely No Probably No Probably Yes Definitely Yes Suggestions or comments? Visual Text Submit
