Please answer the following questions about your home visit with Public Health.
Date of your appointment (day-month-year):
Maximum 10 characters
0/10
Which facility did you visit?
Under the Official Languages Act, you have the right to be served in either English or French. What is the official language of your choice?
When meeting staff for the first time, did they greet you in both official languages by saying “Hello / Bonjour”?
Did your appointment start on time?
For each of the following statements, please select the answer that best matches your level of satisfaction:
What Public Health staff visited your home?
Do you feel home visits are helpful?
Were you satisfied with the options available for your appointment with Public Health (at home, virtual, telephone, in-office)?
Was the Public Health staff visiting your home reliable?
Using any number from 0 to 10, where 0 is the worst possible Public Health appointment and 10 is the best possible Public Health appointment, what number would you use to rate this appointment?
Is there anything else you would like to share about your Public Health home visit? Please do so below.
Maximum 255 characters
0/255
