GLA:D™ Canada Patient Feedback Form

Thank you for participating in the GLA:D™ Canada Program. Your feedback is important in maintaining the integrity of this program.

  • Completely DissatisfiedDissatisfiedNeither Satisfied nor DissatisfiedSatisfiedCompletely Satisfied
  • No KnowledgeLittle KnowledgeUnsureSome KnowledgeVery Knowledgeable
  • Not ConfidentLittle ConfidenceUnsureSome ConfidenceVery Confident
  • Not Hands-OnA Little Hands-OnUnsureSome Hands-OnVery Hands-On