Screen Reader Mode Icon
Dear Patients, 

Please take a few minutes to fill out this survey on the relevance and quality of service you have received. While you will receive no direct benefit in participating, will be used to assist with the program’s quality assurance. The survey is completely voluntary and confidential, and you may exit the survey at any point without consequence. There are no foreseeable risks apart from those encountered in your day to day life.

The survey should take less than 5 minutes to complete.

If you have any questions, please contact the survey administrator at

Question Title

* 1. ELECTRONIC CONSENT: Please select whether or not you agree with the information below. Selecting the "Agree" button indicates that:
You have read the above information.
You voluntarily agree to participate and that you are 18 years of age or older.

0 of 9 answered