NWHU Client Feedback Survey

Thank you for filling in this survey. Your feedback helps us to provide better service.

This survey is anonymous, and optional. You can choose not to do it, or you can stop at any time, and you can still use health unit services now and in the future.

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 talkpublichealth@nwhu.on.ca.

This survey should take about 5 minutes to complete. We ask some questions about to help us know if everyone who comes here has the same experience.

If you have any questions or comments, talk to a staff person.

Thank you.

Question Title

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

Please tell us about you. This will help us know who is using our services, and if everyone who comes here has the same experience.

Question Title

* 2. What community do you live in?

Alberton

Atikokan

Chapple

Dawson

Dryden

Ear Falls

Emo

Fort Frances

Ignace

Kenora

lake of the Woods Township

LaVallee

Machin

Morley

Pickle Lake

Rainy River

Red Lake

Sioux Lookout

Sioux Narrows/Nestor Falls

Other (please specify)

Question Title

* 3. What health unit service are/were you here for today?

Dental health

Immunizations

Prenatal health

Parenting or breastfeeding support

Speech and language services

Tick submission

Sewage and land development

Water testing

Sexual health

Harm reduction (NEP, outreach, wound care kit)

Needle disposal

Naloxone

Other (please specify)

Question Title

* 4. How old are you?

Less than 20

20-29

30-39

40-49

50-59

60-69

70-79

80-89

90 or more

Prefer not to answer

Question Title

* 5. Do you identify as (check all that apply)

White

Indigenous (First Nations, Inuit, Metis)

Prefer not to answer

Other (please specify)

Question Title

* 6. What is your highest level of education?

Less than high school diploma

High school diploma or equivalent

Some post-secondary

Trades certificate/diploma

Diploma/certificate from a college

Some university

Bachelor degree from university

University degree above bachelor's level

Prefer not to answer

Question Title

* 7. What is your approximate household income per year (before taxes)?

Less than $20,000

$20,000-$39,999

$40,000-$59,999

$60,000-$79,999

$80,000-$99,999

$100,000-$119,999

$120,000-$139,999

$140,000 or more

Prefer not to answer

Question Title

* 8. Do you have access to affordable and reliable transportation?

Yes

Question Title

* 9. How many people live in your household?

Question Title

* 10. How do you define your gender? (e.g. female, male, another way, prefer not to answer)

Question Title

* 11. How do you define your sexual orientation? (e.g. heterosexual, lesbian, gay, another way, prefer not to answer)

Question Title

* 12. Any additional comments?

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 talkpublichealth@nwhu.on.ca or call your local health unit office.

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