French Language Services Experience Survey (English)

The purpose of this survey is to inform Canadian Mental Health Association – Sudbury/ Manitoulin regarding your experience with respect to services received in French. We would like to learn more about how you felt in order to improve the French language services offered to other individuals.

Question Title

* 1. Which program did you receive services in?

Intake/ Brief Services

Case Management

Housing Case Management

Justice

Victoria Street Place

Moonlight

Harm Reduction Home

Rent Supplement

Off the Street Shelter

Other (Please specify)

Question Title

* 2. In which language did you receive the following services?

	French	English	French and English	Not Applicable
Reception	Reception French	Reception English	Reception French and English	Reception Not Applicable
Intake	Intake French	Intake English	Intake French and English	Intake Not Applicable
Program Services	Program Services French	Program Services English	Program Services French and English	Program Services Not Applicable

Question Title

* 3. How did you feel about the language used to provide services at each of the following points of contact? You can check more than one answer.

	Good	At ease	Indifferent	Concerned	Disappointed	Frustrated
Reception	Reception Good	Reception At ease	Reception Indifferent	Reception Concerned	Reception Disappointed	Reception Frustrated
Intake	Intake Good	Intake At ease	Intake Indifferent	Intake Concerned	Intake Disappointed	Intake Frustrated
Program Services	Program Services Good	Program Services At ease	Program Services Indifferent	Program Services Concerned	Program Services Disappointed	Program Services Frustrated

Any other feelings you may have experienced?

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* 4. Did the language used during your service allow you to:

	All of the time	Most of the time	Some of the time	A little bit of the time	Never
To understand well	To understand well All of the time	To understand well Most of the time	To understand well Some of the time	To understand well A little bit of the time	To understand well Never
To be well understood	To be well understood All of the time	To be well understood Most of the time	To be well understood Some of the time	To be well understood A little bit of the time	To be well understood Never

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* 5. What is Canadian Mental Health Association – Sudbury/ Manitoulin doing well in relation to the provision of services in French?

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* 6. How could Canadian Mental Health Association – Sudbury/ Manitoulin improve its offer of services in French?

Question Title

* 7. Rate your overall experience regarding our French-language services on the following scale.

Good

At ease

Indifferent

Concerned

Disappointed

Frsutrated

Other (please specify)

Question Title

* 8. Optional: If you would like to be contacted to discuss how Canadian Mental Health Association – Sudbury/ Manitoulin can further improve French language services, please enter your contact information below.

Name

Email Address

Phone Number

Thank you for your collaboration!