WCHC Health & Mental Wellness Feedback Survey March 2024
We appreciate you taking the time to fill out our feedback survey. This information is personal but it helps Woolwich Community Health Centre to better know the township communities and respond to emerging needs to promote health and wellness.  It is beneficial for us to know "who" we are serving, with these demographic questions, so that we can serve you better.

In order to plan for future health and mental wellness education and mental health support groups, we are asking you to help us answer the following questions (estimated time 5 minutes):
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What is your age? *
What is your gender?
What is your racial/ethnic background?
Clear selection
What is your sexual orientation?
What is the highest level of education that you have completed?
Clear selection
Which geographic area do you live in?
Clear selection
Have you taken part in a WCHC program in the past year?
Clear selection
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