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Privacy and Security of Information on Engage VCH
Engage VCH is hosted on Engagement HQ, a platform that is created and managed by a company called Granicus. All data collected on the platform is encrypted and stored in Canada. If you have any questions about the privacy and security of information collected on the site, please contact us at
ce@vch.ca
1. First Name
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2. Last Name
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3. Phone Number
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4. Email
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5. Username
e.g. firstname.lastname
If you would prefer not to use your name and last name for posting ideas, please change your username to avoid identification (e.g., 'Nancy.8623' rather than 'Nancy.Smith').
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6. Password
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Your password must contain 8-16 characters with at least 1 number, 1 lower case and 1 upper case letter
Confirm password
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I agree to the
Terms of Use
and
Privacy Policy
for using Engagement HQ
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We are fostering the growth of a diverse network. Please tell us a little more about yourself:
7. Where do you live?
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Anahim Lake
Bella Bella
Bella Coola
Blubber Bay
Bowen Island
Brackendale
Britannia Beach
D'Arcy
Dawsons Landing
Denny Island
Egmont
Furry Creek
Garden Bay
Garibaldi Highlands
Gambier Island
Gibsons
Gillies Bay
Hagensborg
Halfmoon Bay
Kimsquit
Klemtu
Lions Bay
Lund
Madeira Park
Mount Currie
Namu
Nimpo Lake
North Vancouver
Ocean Falls
Pemberton
Port Mellon
Powell River
Richmond
Roberts Creek
Sechelt
Squamish
Van Anda
Vancouver
Waglisla
West Vancouver
Whislter
I do not reside in the Vancouver Coastal Health region
8. Please tell us which of the following describe you. Please select all that apply:
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I have been a patient/client/resident in a VCH facility within the past 5 years
I am a care partner for a patient/client/resident in a VCH facility (e.g., family member, friend)
I am a representative of a community organization
I am a patient partner with Patient Voices Network (PVN)
I have been involved with one or more VCH advisory committees
I volunteer with other community, non-profit groups
Other
9. What is the year range of your birth?
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Born in 2005 or later
Born between 1995 and 2004
Born between 1985 and 1994
Born between 1975 and 1984
Born between 1965 and 1974
Born between 1955 and 1964
Born between 1945 and 1954
Born between 1935 and 1944
Born between 1925 and 1934
Prefer not to answer
10. How do you define your racial and/or ethnic identity? Please select all that apply:
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Black: African, African Canadian, Afro-Caribbean descent
East Asian: Chinese, Japanese, Korean, Taiwanese descent
Indigenous: First Nations, Inuk/Inuit, Métis descent
Latin American: Hispanic, Latin American descent
Middle Eastern: Arab, Persian, West Asian descent (e.g., Afghan, Egyptian, Iranian, Kurdish, Lebanese, Turkish)
South Asian: South Asian descent (e.g., Bangladeshi, Indian, Indo-Caribbean, Pakistani, Sri Lankan descent)
Southeast Asian: Cambodian, Filipino, Indonesian, Thai, Vietnamese, or other Southeast Asian descent
White: European descent
Prefer not to answer
Do not know
Other
11. What languages do you speak? Please select all that apply:
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English
Punjabi
Cantonese
Mandarin
Farsi
Spanish
French
Korean
Russian
Tagalog (Filipino)
Vietnamese
Arabic
Japanese
Hindi
American Sign Language (ASL)
Other
12. From the following options, what do you feel best describes your gender identity? Please select all that apply:
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Agender
Genderfluid
Genderqueer
Man
Non-Binary Person
Transgender
Two-Spirit
Woman
Prefer not to answer
Other
13. Of the descriptors below, please select which best corresponds to your sexual orientation. Please select all that apply:
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Asexual
Bisexual
Gay
Heterosexual/Straight
Indigiqueer
Lesbian
Pansexual
Queer
Questioning
Prefer not to answer
Other
14. CEAN is a network of public volunteer advisors who provide their perspectives on health-care programs across the VCH region. Would you like to join the Community Engagement Advisory Network (CEAN)?
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Yes
No
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