The Prostate Centre
The Prostate Centre
About Prostate Cancer
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Client survey.
Name:
E-mail:
Visit Date:
Spoke To:
Unsure
Staff
Volunteer
Age:
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85 +
Where do you live?
What was your purpose in coming to the Centre?
Diagnosed with prostate cancer
Looking for general information
Other:
How did you hear about The Prostate Centre?
Urologist
Family physician
Friend/Family
Other:
Did you receive the information you were seeking?
Yes
No
Please rate your satisfaction level of the service provided by the Prostate Centre.
Satisfied
Neutral
Dissatisfied
Reason:
Please suggest any other service that you would like us to provide.
Would you recommend the Centre to others?
Yes
No
Additional comments:
Send
News & Events
The Board of Directors at The Prostate Centre is looking for a suitable candidate to fill an Interim Executive Director position for a 16-month Maternity Leave.
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