GACPEI•SAGIPE Feedback Form

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Gender Affirming Care PEI has always been a community-first organization. Without feedback from rural trans individuals, trans seniors, youth, non-binary, 2spirit people, and the families thereof, we would not have gotten to where we are today. So, firstly, thank you. We accept and appreciate all flavours of feedback, which is invaluable to forming future strategies that will (hopefully) help shape the future of trans health on Prince Edward Island for years to come.

On a scale of 1-5, how would you rate your experience with Gender Affirming Care PEI? *

Name (Optional)

What general area do you have feedback on? *

If feedback concerns a specific date, event, or workshop, please indicate.

Please detail your feedback here.

Are you a member of any of the following populations? (check all that apply)
*

2SLGBTQIA+

Trans (Transgender, Transsexual)

Non-Binary

Two-Spirit

Indigenous

Person of Colour

Visible Minority

Woman

Cis (Cisgender, Cissexual)

Neuro-divergent

Disabled

Senior

Rural

Other:

Required

How did you hear about us?

Word of Mouth

Social Media

Event/Fundraiser

Medical Referral

Physical Media (pamphlets, brochure guide, etc.)

Other:

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Based on your experience, would you recommend GACPEI to friends or family?

Yes

Clear selection

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This form was created inside of Gender Affirming Care PEI.