Who is your Étoile Santé? First name* Last name* Profession*OtherAdministrative SupportAdministratorAnesthesiologistAudiologistAutism ConsultantChiropractorCounsellorDental AssistantDental HygienistDentistDietitianEar, nose and throat specialistEmergency physicianGynecologistHome Care Support WorkerIncome support workerKinesiologistLicensed Practical NurseMedical Laboratory TechnicianMedical PhysicistMental Health TherapistNaturopathNurse PractitionerNutritionistObstetricianOccupational TherapistOpticianOptometristOrderlyOrthodontistOrthodontist AssistantPediatricianPedorthistPharmacistPhysicianPhysiotherapistProstheticPsychiatristPsychologistRadiation TherapistRegistered NurseRehabilitation CounsellorResident Care WorkerService WorkerSocial WorkerSpeech TherapistSurgeonPlease specify* Workplace Email (if possible) Telephone number (if possible) How did this service improve your experience during your visit?Other commentsSubmitted byFirst name* Last name* Address Email* Telephone number Do you agree to allow the Network to share your story with the nominee?* Yes No Where did you hear about the Étoile Santé campaign? Facebook Twitter PEI French Health Network website La Voix acadienne website La Voix acadienne newspaper Other * NameCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé. Δ
