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FNSDS Client Survey
1. Demographics / Psychographics / Profile
1
. Are you responding to this survey as: (Check all that apply)
Are you responding to this survey as: (Check all that apply)
Chief & Council Member
Community Member
Income Assistance Recipient
EI Recipient
Youth (15-30 yrs old)
Other (please specify)
2
. Are you a recipient of:
Are you a recipient of:
Income Assistance
EI
PWD
Long Term Disability
Workers Compensation
Other (please specify)
3
. Where are you located?
Where are you located?
Vancouver Coast & Mountains
Fraser Valley
Vancouver Island
Thompson/Okanagan
BC Rockies (Cranbrook Area Golden/Nelson)
Cariboo Chilcotin/Central
Northwest BC
Northeast BC
4
. How would you classify your location?
How would you classify your location?
Urban
Rural
Remote (definition: 100km or more from a large urban centre)
Isolated (access by plane or boat only)
Other (please specify)
5
. Please state which of the following groups you belong to:
Please state which of the following groups you belong to:
Male Youth (18-30 yrs old)
Female Youth (18-30 yrs old)
Male (over 30)
Female (over 30)
Male Elder
Female Elder
6
. What is your formal education level? (Check all that apply)
What is your formal education level? (Check all that apply)
Primary School (K-Gr.7)
Secondary School (Gr. 8-12)
High School Diploma
Some Post Secondary
Post Secondary Diploma
Post Secondary Degree
Post Secondary Masters or PhD
Vocational/Trades Training
Vocational/Trades Certificate
Other (please specify)
7
. Please state all other education and training you have received (ex. spiritual, healing, arts & crafts, cultural, coaching, counseling, culinary etc):
Please state all other education and training you have received (ex. spiritual, healing, arts & crafts, cultural, coaching, counseling, culinary etc):
8
. How many people are living in your household?
How many people are living in your household?
1
2
3
4
5
6+
Other (please specify)
9
. Do you feel Income Assistance holds you back from being able to find employment or further education?
Do you feel Income Assistance holds you back from being able to find employment or further education?
Yes
No
I don't know
Explain
10
. In what way could the Income Assistance Program support your transition into training and education which could lead to employment?
In what way could the Income Assistance Program support your transition into training and education which could lead to employment?
Transportation (gas, public transit)
Off reserve housing
Adequate child care
Dependent Care
Clothing allowance (trades wear, office attire etc)
Tools & Equipment
Driver's License
Other (please specify)
11
. In your opinion, can you tell us what would lead an individual to be on Income Assistance?
In your opinion, can you tell us what would lead an individual to be on Income Assistance?
Disability
Lack of education
Minimal options for on-reserve employment
Being a caretaker to one (or more) family members
Their role in the community is time consuming
They have no other option
Other (please specify)
12
. Do you view the Income Assistance program as?
Do you view the Income Assistance program as?
Temporary
Permanent
My right
Stable monthly allowance/income
The only option
Other (please specify)
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