Client Experience Questionnaire

Prairie Mountain Health wants to provide the best care and services possible. It is important to hear about your experience in order to make improvements to the way we provide care. Please take a few moments of your valuable time to answer this questionnaire by choosing the response that best describes your experience. No personal information is collected or shared unless you request follow up.

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* 1. Gender:

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* 2. Age

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* 3. I learned about the Travel Health Clinic from:

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* 4. I travelled to the clinic from outside of Brandon:

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* If you answered "yes" to #4, what was the distance travelled for this service:

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