Your feedback helps us to provide better service. All answers are anonymous.

You can also fill out a paper version of this survey in any of our offices or send us an email with your comments at
This survey has 7 questions and should take less than 5 minutes to complete. All responses are anonymous unless you give us your name and contact information and ask us to contact you to respond to your comments.

* 1. Please indicate your level of agreement with the statements below:

  Strongly disagree Disagree Neither disagree or agree Agree Strongly Agree
The amount of time it took to get the service was acceptable.
The time and location of the service was convenient.
I was treated well by health unit staff. They were friendly, courteous, helpful and respectful.
The health unit staff person had the knowledge and skills to help me.
I was satisfied with the quality of the service I received.
Overall, I got the information and /or service that I needed.

* 2. Any additional comments?

Thank you for taking the time to provide us with your feedback.

For privacy reasons, we don't collect names and/or contact information online. This means that we cannot respond to any comments you included here.

If you would like to talk to someone about your feedback, please email us at or call your local health unit office.

Adapted from Rand Health Visit-Specific Satisfaction Instrument (VSQ-9)