General Information for Participants

Northwestern Health Unit (NWHU) invites you to participate in a short online survey to help us understand more about how your experiences and life circumstances affect health.

Although a lot of our current work involves responding to the COVID-19 pandemic, it is important for us to stay responsive to other health-related concerns.  For that reason, we’d like to hear from you about important issues that affect your wellbeing.  By filling out this survey, it will help us to best use our resources to support health initiatives that impact the communities we serve.   

You can refuse to participate, skip any question, or quit the survey at any time with no consequences to you.  This survey does not seek to identify you or others so please do not use any names or other identifiers in your answers. 

The information you provide in this survey is voluntary.  If you do complete the survey, the answers you provide will be kept confidential.  Your information will only be disclosed as permitted or required by law. 

Please be aware that information related to your response to the survey is stored by Survey Monkey and not by NWHU, and is governed by the Survey Monkey Terms of Use.  NWHU will not connect your responses with you; however, due to Survey Monkey processes, we can’t guarantee that no personal identifiers such as an ISP address are being recorded as part of this survey.  The information on Survey Monkey servers will be subject to the laws of a jurisdiction outside of Canada.

To allow for survey analysis, the information stored by Survey Monkey will be exported to secure servers at NWHU.  However the data may remain on Survey Monkey servers for up to 12 months, after which they are deleted permanently. 
What does participation involve?  
To be eligible to complete this survey, you must be an adult (aged 18 or over) living in the catchment area of NWHU.  The survey will take approximately 15-20 minutes to complete.   Upon completion of the survey, you will have a chance to win one of two sets of Apple AirPods Pro or a Fitbit Versa 3!   Please note that NWHU staff are eligible to participate in the survey but cannot win a prize.      

You can skip any questions you do not want to answer.  There are no consequences if you choose to stop at any time.  Information that you share is not connected to other services you receive from NWHU or elsewhere.
Are there any risks? 
The questions in this survey ask about your life circumstances, and difficult things that may have happened to you over the course of your life.  Please be assured that all of your responses will remain confidential.   

If you would like to talk to someone about any of the issues raised in this survey, please don’t hesitate to reach out to one of the following resources in your community or contact your family doctor:    
  • Crisis Response Service for Kenora and Rainy River Districts: 1-866-888-8988
  • Kenora Sexual Assault Centre Crisis Line: 807-468-7233 (SAFE)/1-800-565-6161
  • Rainy River District Victim Services: 807-274-5687/1-866-484-5687
  • First Nations, Metis and Inuit Hope for Wellness Help Line: 1-855-242-3310
  • Fort Frances Tribal Area Health Services:  807-274-2042
  • Kenora Chiefs Advisory: 855-367-2600
By selecting "I agree to participate" below you confirm that you: 

1.    Are over the age of 18, and reside within the NWHU catchment area.
2.   Understand what is required based on reading the information above.
3.   Understand that your participation is voluntary and you are free to stop at any time.
4.   Understand that your responses will be kept private.

Question Title

* 1. Please select your choice