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Dietitian Services (Allied Survey 2026)
You are being invited to take part in this survey because you have recently had a visit for
Dietitian services at East End Community Health Centre (CHC).
Your responses to the questions on this survey will help us improve the CHW services we provide. This survey will take approximately 5 minutes to complete. Participation in the survey is voluntary and all your responses to the survey questions will be kept confidential.
Q1. Thinking about the last visit you had for dietitian services, on a scale of poor to excellent, how would you rate the following?
a) They listened to your concerns
Poor
Fair
Good
Very Good
Excellent
b) They explained things in a way that was easy to understand
Poor
Fair
Good
Very Good
Excellent
c) They were sensitive to your needs and preferences
Poor
Fair
Good
Very Good
Excellent
d) They treated you with dignity and respect
Poor
Fair
Good
Very Good
Excellent
e) Your overall experience speaking with the dietitian about the reason for your visit
Poor
Fair
Good
Very Good
Excellent
f) Your overall experience accessing the Centre
Poor
Fair
Good
Very Good
Excellent
g) The length of time it took between making your appointment and the visit you just had
Poor
Fair
Good
Very Good
Excellent
Q2. The last time you booked an appointment with a dietitian, did you get an appointment on the date you wanted?
No
Yes
Q3. When you see the dietitian, how
often
do they…?
a) Give you an opportunity to ask questions
Never
Rarely
Sometimes
Often
Always
b) Involve you as much as you want to be in decisions about your care
Never
Rarely
Sometimes
Often
Always
c) Spend enough time with you
Never
Rarely
Sometimes
Often
Always
d) Clearly explain what to work on/change after your visit
Never
Rarely
Sometimes
Often
Always
Q4. I always feel comfortable and welcome at East End Community Health Centre (CHC).
No
Yes
Q5. Seeing a dietitian …
a) helped assess my eating habits and decide on changes I am willing to make
Strongly Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly Agree
b) helped increase my confidence to change eating habits
Strongly Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly Agree
c) helped me find strategies to address some barriers in making lifestyle changes
Strongly Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly Agree
The main reason why I booked an appointment with the dietitian is to:
(Check ALL that apply)
I’m not sure
For support
For accountability
To ask a few questions
To help motivate me to make changes
My doctor or nurse practitioner suggested it
To learn about healthy eating/improving food intake
To learn what I could do to improve my health condition
Please specify health condition(s):
Q6. Dietitian Services in the Future
a) If a friend were in need of similar help, would you recommend a dietitian at this CHC (Community Health Centre) to them?
No, definitely not
No, I don't think so
I'm not sure
Yes, I think so
Yes, definitely
b) If you needed help again, would you seek out dietitian services at this CHC (Community Health Centre) again?
No, definitely not
No, I don't think so
I'm not sure
Yes, I think so
Yes, definitely
Q7. If dietitian services were not offered at the CHC (Community Health Centre), would you have been able to access dietitian services elsewhere?
No
Yes
If not, why not?
(Check ALL that apply)
I can’t afford a dietitian/I don’t have private health insurance
I don’t know where to go to get a dietitian
I can't go to other dietitian clinics
I don’t want to go anywhere outside of the CHC (Community Health Centre) for my health care
Other (please specify)
Context/Demographics
How long have you been visiting us for your health care?
Less than six months
Between six months and a year
Between one and three years
Between three and five years
Longer than five years
Using your best guess, how many times did you visit the Centre over the past year or so for your own health care?
One
Two
Three
Four
Five or more
Would you recommend our services to your family and friends?
Definitely no
Probably no
Probably yes
Definitely yes