Thank you for helping with our program!

The information gathered here is essential to keep the Calgary Dollars program growing. It takes 5-10 minutes. Please be assured that your answers are entirely confidential.

Please ONLY do this survey if you've already done a survey with us in the last 5 years, such as an Intake survey or a previous Follow-Up survey. Please do an Intake survey if you haven't done one, or if it was completed over 5 years ago. If you're not sure, contact us. 
 
If you have any other questions or need assistance completing the survey, email info@calgarydollars.ca or call 403-270-8002.
 
Thanks! - Calgary Dollars Staff

* 1. Please only continue if you've previously done a survey with us. See above.
What is your first name?

* 2. What is your last name?

* 3. What is your contact information? (ie email address, or phone #)

* 4. What is your date of birth? (MMDDYYYY)

Date
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* 5. Please enter the first 3 digits of your postal code.

* 7. Part 1. How often is each of the following kinds of support available to you if you need it:

  Never A little of the time Some of the time Most of the time Always
Do you have someone to have a good time with when you want to?
Do you have someone to turn to for suggestions about how to deal with a personal problem?
Do you have someone to take you to the doctor if you needed it?
Do you have someone to prepare your meals if you were unable to do it yourself?
Do you have someone to help with daily chores if you were sick?

* 8. Part 2. How often is each of the following kinds of support available to you if you need it:

  Never A little of the time Some of the time Most of the time Always N/A
Do you have someone to look after your child(ren) for several hours if needed (if applicable)?
Do you have someone to look after your spouse for several hours if needed (if applicable)?
Do you have someone to look after your parent(s) for several hours if needed (if applicable)?

* 16. Please pick the best option for each question:

  More than once per month Once per month Every few months Once a year Less than once a year Never
I attend Calgary Dollars Markets / Bazaars / events
I attend Arusha Centre or Open Streets Events
I attend other community events I heard about through Calgary Dollars

* 17. Please pick the best option for each question:

  Strongly agree Agree Somewhat agree Somewhat disagree Disagree Strongly disagree
Since joining Calgary Dollars, I have been encouraged to buy more locally.
Since joining Calgary Dollars, I am more involved in my community (this can be the community where you live or a community of people with shared interests).
I have established relationships of trust with people in the community since joining Calgary Dollars.
Since joining Calgary Dollars I am better able to live within my means.

* 18. If you agree that you are better able to live within your means because of Calgary Dollars, can you tell us why? i.e. extra income, can buy more, spend less federal dollars, place less value on material goods, etc.

* 21. Do you have any other comments or suggestions about Calgary Dollars?

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