Health Equity Program Evaluation Survey
Please provide your feedback to help us improve our health equity initiatives.
Age Group
Option 1
Option 2
Option 3
Gender
Option 1
Option 2
Option 3
Ethnicity
Please Select
Option 1
Option 2
Option 3
How would you rate the overall effectiveness of the Health Equity Program?
1
2
3
4
5
What aspects of the program do you think need improvement?
Have you experienced any barriers to accessing health services through the program?
Option 1
Option 2
Option 3
Please provide any additional comments or suggestions.
Submit
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