Spinach II
Thank you for your interest in this project.

Decisions about how to stay independent at home are often difficult for seniors. We have created an online module (http://spinach-project.blogspot.ca/) for seniors and caregivers who are facing such decisions.

We wish to improve the website and we need your help! If you are interested in giving us your feedback, please fill in this form and we will get in touch with you to tell you more about our research project and to arrange an interview.

Name *
Your answer
Your answer
Phone number *
Your answer
How did you hear about us? *
Your answer
Where would you like to participate? *
When can you usually be reached? *
What day(s) of the week? *
What is your age?
Your answer
Do you take care of a senior loved one? *
Would you prefer to part-take in a one-on-one interview or a focus group? *
If you selected one-on-one interview: how would you like to participate?
Other comments
Your answer
Thank you
Thank you very much for taking this survey. We look forward to speaking with you and learning how we can improve the spinach website. We will get in touch in the next two weeks.
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