NOHT-ÉSON Priority Planning Survey

Please take a moment to complete this short survey. Your input will help shape our strategic plan and the future of health care in Niagara.

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* 1. Age:

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* 2. Gender: (check all that apply)

Cisgender

Female

Intersex

Male

Trans

Two-spirit

Do not know

Prefer not to answer

None of these

I am

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* 3. Do you self-identify as Indigenous?

Yes

No

Do not know

Prefer not to answer

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* 4. Do you self-identify as Francophone?

Yes

No

Do not know

Prefer not to answer

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* 5. How would you describe the current state of healthcare in Niagara?

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* 6. What does excellent healthcare mean to you?

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* 7. What can we do better in Niagara?

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* 8. Please share any additional comments you have below:

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* 9. Are you interested in participating in future engagement opportunities?

Yes

No

If yes please provide your email