* 1. Are you completing this survey based on your own health experiences OR for someone you care for?

* 2. How often have you (or your family/friend) used health services in the last 3 years?

* 3. What is your age category?

* 4. What is the gender you most identify with?

* 5. Where do you or your family receive most of your health care services?
Please use the following interactive link to determine locations in the
Central LHIN: 

* 6. What types of health care services have you (or your family/friend) received in the last 3 years? (Please check all that apply).

* 7. What barriers have you (or your family/friend) encountered in accessing health services? (Please check all that apply).

* 8. What language are you (or your family/friend) most comfortable receiving health care services in?

* 9. If you identified a language other than English in Question #8, how often have you (or your family/friend) been able to receive health care services in that language (Please check the most appropriate response).

* 10. Based on your experience, which of the following health care services would you recommend needs to improve in order for you and/or your family to live healthier lives in your local communities? (Please check all that apply).

* 11. How do you define access to health  services at the right time and at the right place?

* 12. Based on your above definition of access, how confident do you feel that you and your family could access health care services at the right time and the right place? (Please check the most appropriate response).

* 13. What information do you need to access health resources to live a healthier life in your local community? (Please answer in the space provided below). For example, are you familiar with www.centralhealthline.ca?