CHS Survey Community Health Services Client Satisfaction Survey CHS Survey 0% Complete1 of 2 I understand my answers will be confidential and all information collected will be used to make recommendations to Dilico Health Services. * Yes No 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. * Yes No Do not wish to answer What community did you receive services in? * Please select one: * Home Visit Clinic Visit 2. How long have you been a client/patient of the program? * Less than 6 months 6 - 12 months 1 - 2 years 3 or more years Who provided the services? * Community Health Nurse (CHN) Indigenous Healthy Babies Healthy Children Nurse (IHBHC) Infant and Child Wellness Worker (ICWW) Mental Health - Community Health Nurse (MHCHN) If you are human, leave this field blank. Next
