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Health Care Services Access and Quality Survey
31%
Exit Survey
 
 
The purpose of this survey is to determine Métis Albertans' access to and quality of health care. The survey is anonymous and all information is kept confidential and used for research purposes only.
 
 
 
Please tell us about yourself:
 
 
1. Are you a member of the Métis Nation of Alberta?
 
Yes
 
No, but I am a member of the Métis Nation of a different province
 
No, but I self-identify as Métis
 
No, I am not Métis
 
 
2. What community/town/city do you live in? Please specify your province if you do not live in Alberta.
   
 
 
3. Which category below includes your age?
 
17 or younger
 
18-20
 
21-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70-79
 
80-89
 
90 and over
 
 
4. What is your gender?
 
Male
 
Female
 
Prefer not to disclose
 
Other
 
 
 
5. Chronic diseases are defined as lasting longer than 3 months and requiring continuous treatment. Examples include high blood pressure, diabetes, asthma, arthritis etc. Do you have any chronic diseases?
 
Yes, one
 
Yes, more than one
 
No
 
 
6. Do you have a family doctor?
 
Yes
 
No (please explain why you don't have a family doctor)
 
Métis Health and Wellness