An anonymous survey to help improve services (an ongoing Quality Improvement Project) 

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* 1. Your Sex assigned at birth:

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* 2. Gender you currently identify as:

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* 3. Would you identify yourself as a member of the 2SLGBTQ+ community? (2S = Two-Spirit)

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* 4. Are you a member of a First Nation or identify yourself as Indigenous / Métis?

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* 5. How many years have you resided in Haliburton County?

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* 6. In your experience, describe some ways primary care is delivered differently outside of Haliburton County (good or bad)

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* 7. Does your health care provider involve you as much as you want in making decisions about your care and treatment?

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* 8. For Question 7, who did you see?

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* 9. Thinking about your most recent visit, on a scale of excellent to poor, how would you rate your overall experience with our reception staff?

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* 10. For Question 9, who did you see?

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* 11. How can we improve our services to better meet your needs?

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* 12. Are there services that we could offer to better meet your needs?

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