Transcription of 2018 PRISM Update May - bccancer.bc.ca
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2018 PRISM Update May - bccancer.bc.ca
1/Please answer the following questions to help us get to know you better. Your answers will help us provide you with the best care possible. This information will become part of your health record and will be available to your health care team. Please feel free to leave any questions blank that you do not wish to answer. Completed by: Patient Caregiver Nurse Other _____ Date _____ General Information1. What gender do you identify with? Female Male Transgender woman Transgender man Other2. What is your sexual orientation? Heterosexual/Straight Lesbian/Gay Bisexual Queer Other Not sure3. a) Do you identify as an indigenous person? No Yes If yes, are you (please check) First Nations Metis Inuit Do you currently reside on your traditional territory? No Yes b) If no, to which ethnic or cultural group do you belong?
1/ Please answer the following questions to help us get to know you better. Your answers will help us provide you with the best care possible. This information will become part of your health record and
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