2017 Survey for Program Participants

Hello!  We are asking for your help in evaluating our services and programs.  We want to know what you think about how we are doing and what we could do better.  We want your honest opinions.  As you answer these questions, please keep in mind the programs and services you have received or participated in at the North, West or East Lambton Community Health Centre over the past year. 

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* 1. Do the days the programs are offered on (Monday, Tuesday, etc), work for you?  Please tell us what days work best for you.

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* 2. Do the times of the day the program is offered work for you? (mornings, afternoons, evenings).  Tell us when is best for you.

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* 3. Can you get to the location of the programs?

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* 4. Are you able to get around and participate in the program activities once you are there?

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* 5. Did you learn something new by attending the program?

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* 6. Will you change anything in your daily life by using any of the information or activities from the program?

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* 7. Were you able to provide any feedback to the program leader if you needed to?

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* 8. Do staff or volunteers help you know about and get involved in any programs you need to?

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* 9. Do you feel that since participating in a Program offered by the Community Health Centre, your overall health and well-being is better?

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* 10. Do you feel that since participating in a Program it has helped you to reduce or avoid visits to a hospital?

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* 11. Please rate your satisfaction with the program.

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* 12. Has the Program helped to improve your lifestyle?

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* 13. Is there anything we can do to make you feel welcome and comfortable to attend more programs offered by the Community Health Centre?  Please explain.

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* 14. Do you experience any difficulties (or barriers) to using our programs and services such as:

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* 15. The following questions help us determine if we are helping different groups of people in the community.  Please help us by answering the following:

Are you a patient of the Centre (i.e. see your Family Doctor or Nurse Practitioner)

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* 16. What is your Postal Code?

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* 17. Are you

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* 18. Into which age group do you fit?

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* 19. Which group(s) of people best describe you?  You may check more than one

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* 20. Approximately how much total is the yearly income received by everyone in your household?

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* 21. Are there any other suggestions or comments you would like to share with us?

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