Guest Survey

Please take a few minutes to respond to our guest survey. Your input and comments will allow us to continually improve the site. Note that the information you provide will be sent to us anonymously. If you have any questions, don’t hesitate to contact us at capwebmestre@vl.videotron.ca.

1) What is your age?
Less than 10 years
10 - 14 years
15 - 19 years
20 - 29 years
30 - 39 years
40 - 49 years
50 - 59 years
60 - 69 years
70 years and over

2) Your sex?
Woman
Man

3) City of residence?

4) Region?

5) Country?

6) How did you come upon our site? 

7) Is this your first visit to our site?
Yes
No

8) Are you a professional working in the health sector?
Yes
No

9) What is your overall rating of this site?
Excellent
Good
Average
Weak
Poor

10) Comments or suggestions:

Thank you for your participation!