Client Experience and Strategic Planning Survey 2025 - 2026

1. When you use our services, how often does our staff:

Space Cell	Always	Often	Sometimes	Rarely	Never
Do they involve you as much as you want in decisions about your care and treatment?	Do they involve you as much as you want in decisions about your care and treatment?: Always	Do they involve you as much as you want in decisions about your care and treatment?: Often	Do they involve you as much as you want in decisions about your care and treatment?: Sometimes	Do they involve you as much as you want in decisions about your care and treatment?: Rarely	Do they involve you as much as you want in decisions about your care and treatment?: Never

2. Please select the most appropriate response:

Space Cell	Strongly agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
I always feel comfortable and welcome at SWCHC	I always feel comfortable and welcome at SWCHC: Strongly agree	I always feel comfortable and welcome at SWCHC: Agree	I always feel comfortable and welcome at SWCHC: Neither agree or disagree	I always feel comfortable and welcome at SWCHC: Disagree	I always feel comfortable and welcome at SWCHC: Strongly disagree

3. Copy of Please select the most appropriate response:

Space Cell	Strongly agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
I always feel comfortable and welcome at SWCHC	I always feel comfortable and welcome at SWCHC: Strongly agree	I always feel comfortable and welcome at SWCHC: Agree	I always feel comfortable and welcome at SWCHC: Neither agree or disagree	I always feel comfortable and welcome at SWCHC: Disagree	I always feel comfortable and welcome at SWCHC: Strongly disagree

8. Which of the following best describes your racial or ethnic group?

• Asian-East (e.g. Chinese, Japanese, Korean)
• Asian-South (e.g. Indian, Pakistani, Bangladeshi)
• Asian-South East (.eg. Malaysian, Filipino, Vietnamese)
• Black-African (e.g. Ghanaian, Kenyan, Somali)
• Black-Caribbean (e.g. Barbadian, Jamaican, Haitian)
• Black-North American (e.g. Canadian, American)
• First Nations
• Indian-Caribbean (e.g. Guyanese with origins in India)
• Indigenous/Aboriginal

• ​​​​​​​Inuit
• Latin American (e.g. Argentinian, Chilean, Salvadoran)
• Métis
• Middle Eastern (e.g. Egyptian, Iranian, Lebanese)
• White-European (e.g. British, Italian)
• White-North American (e.g. Canadian, American)
• Mixed Heritage
• Do not know
• Prefer not to answer

9. What is your gender?

• Female
• Male
• Intersex
• Trans (female to male)

• Trans (male to female)
• Two spirit
• Do not know
• Non binary

• Prefer not to answer
• Other (please specify) - Please enter an 'other' value for this selection.

10. What is your sexual orientation? (check one only)

• Bisexual
• Gay
• Heterosexual (straight)

• Lesbian
• Queer
• Two spirit

• Do not know
• Prefer not to answer
• Other (please specify) - Please enter an 'other' value for this selection.

11. Do you have any disabilities?

• Yes
• No
• Do not know
• Prefer not to answer
• Other (please specify) - Please enter an 'other' value for this selection.

12. What was your total household income before taxes last year? How many people does this income support? (Please state in the comment box)

• Under $15,000
• Between $15,000 and 19,999
• Between $20,000 and 24,999
• Between $25,000 and 29,999
• Between $30,000 and 34,999

• Between $35,000 and 39,999
• Between $40,000 and 59,999
• Over $60,000
• Do not know
• Prefer not to answer

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