Health Region Change Survey
Please share your feedback and experiences regarding your recent health region change. Your input will help us improve our services.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Previous Health Region
*
New Health Region
*
What was your main reason for changing health regions?
*
Relocation (moved to a new address)
Access to better healthcare services
Proximity to family or support network
Employment or education reasons
Other
How satisfied are you with the process of changing your health region?
*
1
2
3
4
5
Please rate the following aspects of your health region change experience:
*
Rows
Clarity of information provided
Ease of application process
Support from staff
Time taken to complete the change
Very Dissatisfied
1
2
3
4
Dissatisfied
5
6
7
8
Neutral
9
10
11
12
Satisfied
13
14
15
16
Very Satisfied
17
18
19
20
Did you encounter any challenges during the health region change process?
Lack of clear information
Long processing times
Technical issues with the application system
Difficulty contacting support
No challenges encountered
Other
What suggestions do you have to improve the health region change process?
Submit Survey
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