2009 Participant Survey
 

1. About You

 
Please help us improve the quality of services for people with cancer and their loved ones by providing feedback about your experience at The Wellness Community-Foothills (TWC-F). Please complete the portions of this survey which are/were applicable to you with emphasis on services in the past 12 months. All information is confidential. Thank you for your time.

1. Date survey completed:

2. You participated as a:

3. How long have you been attending The Wellness Community-Foothills?

4. What is the current status of your (or your loved one’s) cancer?

5. What was the status of your (or your loved one’s) cancer when you first came to TWC-F?

6. What hospital/medical office are/were you affiliated with?

Powered by SurveyMonkey
Create your own free online survey now!