PHCF Evaluation Form 2016 Attendee Information Question Title * 1. Name (optional) Question Title * 2. Profession/Role Title Question Title * 3. Geographical location of practice or organization? Quinte (Belleville, Trenton, Brighton, PEC, and region) Rural Hastings (Bancroft, Marmora, Madoc, Tweed, and region) Salmon River (Napanee, Tyendinaga, and region) Kingston Rural Kingston (Verona, Sharbot Lake, and areas north of the city of Kingston) Rideau-Tay (Smiths Falls, Perth, Merrickville, and area) Thousand Islands (Brockville, Gananoque, Athens, and region) Other area Other (please specify) 14% of survey complete. Next