Information
Thank you for your interest in the 310 Division Street Business Pulse Survey. This survey is being conducted to better understand the experiences of businesses within 500 metres of 310 Division Street, Cobourg. The successful integration of the 310 Division Street facility into the surrounding community is a key priority for Northumberland County, and learning about the perspectives of businesses is essential to this goal. The information you provide will help us to understand the impacts that this facility has had on your business (both positive and negative), how these experiences have been communicated with various points of contact, and potential suggestions about how these experiences can be addressed. An option to be contacted regarding your experiences will be included at the conclusion of the survey. In order to identify trends and measure impact, this survey will be conducted monthly. Each month, the data collected will refer to experiences that took place in the previous calendar month.

To be eligible to complete the survey, you must be a representative of a business that is located within 500 metres of 310 Division Street, Cobourg. If you would like to participate in the survey, please complete the consent and declarations below. (Note - changes have been made to the consent and declarations section, please review carefully.)

If you require this information in an alternate format, please contact Northumberland County's Accessibility Coordinator at accessibility@northumberland.ca or 1-800-354-7050 ext. 2327.
Consent and Declarations

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* I consent to sharing the information disclosed herein, including any personal information, with the Department of Health and Human Services of Northumberland County for the purposes of improving services and responding to concerns. I understand that Northumberland County is subject to the provisions of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Personal Information Protection and Electronic Documents Act (PIPEDA). I understand and acknowledge that Northumberland County will publicly report this data, with personal information about identifiable individuals kept confidential. For more information, please contact the Manager of Homelessness Services, Community and Social Services, Northumberland County, 555 Courthouse Road, Cobourg Ontario, K9A 5J6, 905-372-3329 ext. 2314.

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* I understand that one survey can be submitted for a business each month, and that if duplicate entries are received from a business, only the most recent submission will be included.

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* I understand that survey entries can only be submitted during the identified collection window of each month.

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* I am an eligible agent/representative of the business referenced in the survey, and I am able to speak on behalf of this business.

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