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Health Survey

 
 

Thank you for participating in the BETTER WISE project.

To help prepare for your prevention visit, please follow the instructions below to complete the BETTER WISE Health Survey.  Your answers will help us provide better care for you.

At your visit, your healthcare provider will ask you to read and sign a consent form.  A copy of the consent form can be found:

  • here  if you are from Alberta;
  • here  if you are from Newfoundland & Labrador; and
  • here if you are from Ontario.

Your healthcare provider will be available and able to answer any questions you may have, and a copy of your signed consent form will be given to you at the end of your first prevention visit.

During the visit, you and your healthcare provider will discuss how you can improve your health and the screening tests you are eligible to receive.  You will be able to set your own health goals and create a plan that will help you achieve them.

Later, your healthcare provider will check with you to review your progress, help you change your plan, if needed, and set new goals.


Instructions

Please answer all questions to the best of your ability.

You are free to refuse to answer any question.

While completing the survey, you can stop at any time.  Please note that if you leave the survey webpage, your answers will not be saved and you will be asked to start the survey from the beginning when you log in again.

At the end of the survey, you will have an opportunity to save a copy of your answers for your own records.

A copy of your answers will be automatically shared with your healthcare provider to help prepare for your upcoming prevention visit.