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Please consider completing Central Hastings Family Health Team's Community Survey. CHFHT is trying to find out more about the health care and social needs of members of our local communities. Please complete a survey for each family member, including children. 

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* 1. Are you currently a patient of Central Hastings Family Health Team?

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* 2. If not, do you have a regular Doctor or Nurse Practitioner somewhere else?

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* 3. If you have your own regular Doctor or NP somewhere else, how far is their clinic from your home?

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* 4. Do you find it hard to get to health care appointments due to transportation difficulties?

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* 5. If you needed X-Ray or ultrasound services, would you be able to access them?

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* 6. Can you afford enough food?

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* 7. Can you afford adequate housing?

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* 8. Do you have somewhere suitable to live right now?

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* 9. If you were prescribed medications, could you obtain them?

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* 10. If you were prescribed medications, how would you pay for them?

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* 11. If you needed physiotherapy or chiropractic care, could you afford to pay for it?

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* 12. How old are you?

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* 13. Do you have a disability?

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* 14. Do you identify as First Nations, Métis, or Inuk/Inuit, including status or non-status?

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* 15. Do you identify as a member of the LGBTQ2S+ community?

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* 16. What services would you like to see available locally for people who don't have their own Doctor or Nurse Practitioner?

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* 17. What community do you live in?

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* 18. If you live in another community, is it located in:

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* 19. Do you have any comments or suggestions?

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