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Immunization

Please answer the following questions about your most recent immunization (vaccination) appointment with Public Health.

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3.  

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? 

* required
4.  

When meeting staff for the first time, did they greet you in both official languages by saying “Hello / Bonjour”? 

* required
5.  

Did your appointment start on time?

* required
I was treated with courtesy and respect.
I was explained things in a way I could understand.
I was listened to carefully.
I was involved as much as I wanted to be in decisions about my care or my child’s care.
I had enough time to ask questions.
I received helpful information and education.
7.  

Before vaccination, did staff confirm your name or your child's name?

* required
8.  

Before vaccination, did staff confirm your date of birth or your child’s date of birth?

* required
9.  

Before vaccination, did staff offer your child a comfort aid?

Ex: Buzzy Bee, cold gel pack

* required
10.  

Before vaccination, did staff clean their hands using hand sanitizer or soap and water?

* required
11.  

Did staff provide enough support to help with fears or worries related to vaccination?

* required
12.  

Did staff provide enough information about possible vaccine side effects?

* required
13.  

If breastfeeding, did staff encourage you to breastfeed during your appointment?

* required
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