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17% of survey complete.
At Five Counties it is our goal to provide services that are centered around the needs of your child and family. To help us do this, we are sending you our annual survey to find out more about your family’s experience over the past year at Five Counties Children’s Centre. 

By completing this brief survey, you can help us improve our services.  All your responses are confidential and will not affect the services that you receive at the Centre.  By returning the survey, you are consenting to have your confidential data included for review.  

Please select ONE answer for each question that you feel best fits your experience (from not at all to a very great extent). 

Please note that zero (0) is only used when the question does not apply to you.

Please note: “PEOPLE” refers to those people who work directly with you or your child.  These may include speech and language pathologists, social workers, doctors, physiotherapists, occupational therapists, therapy aides, etc.

Please complete the questionnaire before 31 December 2020.  Results of the survey and action taken as a result of this survey will be posted on the Five Counties Children’s Centre website (www.fivecounties.on.ca).  If you would like assistance in the completion of this questionnaire, please call Glenna Hemphill, 705-748-2337 ext. 100 or toll free at 1-888-770-9916 ext. 100.