* 1. The Olde Forge provides Community Support Services that help people maintain their independence in their own homes.
Our Community Support Services include the following:
■ Medical Transportation                              
■ Luncheon Program
■ Foot Care                                                        
■ Income Tax Clinics
■ Grocery Bus                                                  
■ Telephone Assurance
■ Friendly Visiting (Friendship Group)        
■ Day Programs
■ Shopping Van                                                
■ Home Help
■ Home Maintenance 

Do you access any of these additional services listed above at The Olde Forge?

* 2. If you answered no, do you access any of these similar Community Support Services at another organization?

* 3. If you answered no once again, are you not accessing these services because: (please tick off all applicable answers)

* 4. How did you hear about The Olde Forge Recreation Program?

* 5. Were there any important community resources provided to you in the last year?

Community resources can include information on health, public transportation, housing issues, technology assistance etc.

* 6. The Forge hosts many workshops and presentations. Do you have any idea of a specific topic that you would like to see offered within the next year? If so, please write your suggestion(s) here.

* 7. Would you say that you have seen an improvement in your overall health as a result of the programs we offer?

* 8. Are you satisfied with the programs that we offer? Please check off the appropriate level of satisfaction.

* 9. If you have indicated that you're not satisfied with our program offerings, please let us know how we can improve our programs or indicate what you would like to see offered:

* 10. What is your favourite part about the programs we offer? Has the program benifitted you in some way? Please write your responses here: