ASP Client Satisfaction Survey 2020
What do you think?
Please check the response that best reflects you and your family member's opinion. Please note
that if you identify an area of concern, it would be helpful if you could explain your concerns in the
comment section below that topic area. This will help us identify ways we can improve our
services.
Were you satisfied with the service(s) you received? Please only rate the services you used.
Completely Dissatisfied
Dissatisfied
Neither Satisfied or dissatisfied
Satisfied
Very Satisfied
Brampton Day Program
Brunel Day Program
Evelyn's Place Day Program
Meadowvale Day Program
Sam McCallion Day Program
Nora's House Respite
Bathing Program
Education
First Link
Counselling
Behavioural Supports Counselling
Behavioral Supports Psychogeriatric Resource Consultant
Behavioural Supports Community Service Worker
Comments
Your answer
How would you rate overall care received? Please only rate the services you used.
Completely Dissatisfied
Dissatisfied
Neither Satisfied or dissatisfied
Satisfied
Very Satisfied
Brampton Day Program
Brunel Day Program
Evelyn's Place Day Program
Meadowvale Day Program
Sam McCallion Day Program
Nora's House Respite
Bathing Program
Education
First Link
Counselling
Behavioural Supports Counselling
Behavioral Supports Psychogeriatric Resource Consultant
Behavioural Supports Community Service Worker
Comments:
Your answer
Were you, and or your family member, treated with respect and dignity while receiving service?
Comments:
Your answer
Did you have enough input into the services you received? i.e.Day Program Assessment/Intake, Nora's House Intake, Day Program Follow ups, Referrals to services
Comments:
Your answer
Did the services that you, or your family member utilized, help you cope better?
Comments:
Your answer
If a friend were in need of similar help would you recommend our programs/services to him/her?
Comments:
Your answer
Have you noticed/experienced any barriers at Alzheimer Society Peel for people with disabilities?(Disability examples: physical disabilities, vision impairments, hearing impairments, learning disabilities,mental health disabilities) Please record details of the barrier in the comments section.
Comments:
Your answer
If you identified a special need, based on a disability, to the Alzheimer Society Peel, was your need met? (Disability: Physical disabilities, vision impairments, hearing impairments, learning disabilities, and mental health disabilities)
Comments:
Your answer
Do you have any recommendations, or ideas, for future services that you would like to share?
Your answer
If you would like to be contacted by Kitrina Fex, Chief Operating Officer, to discuss any concerns, or provide your feedback, please provide your name, contact information, and a brief description of what you wish to discuss in the comment box below.
Your answer
If you are interested in volunteering, please check off the roles that interest you, and remember to include your contact information so we can follow up with you.
Please provide contact information here if you wish to volunteer.
Your answer
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