Mental Health Nursing Survey

Dilico Health Services depends on your feedback to ensure we meet the needs of all clients. We make improvements on program and service delivery based on your feedback. All responses are kept confidential.


Do you identify as Aboriginal? Aboriginal peoples are defined in the Canadian Constitution Act, 1982, Section 35 (2) as including First Nation, Inuit, and Metis peoples.



Please select one:







3. What service(s) did you receive during your visit and how would you rate the service(s)? (Please check service(s) and rating)



5. How would you rate your health care provider on the following?






Would you like a follow-up phone call or follow-up visit regarding this survey?

If YES, please enter your contact information below:

Meegwetch/Thank you for taking the time to complete the survey, your feedback is greatly appreciated.