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Empower Simcoe Quality Review Survey
1.
Are you a person receiving services from Empower Simcoe or a Family Member?
Person Receiving Services
Family Member
2.
What program do you receive services from? (select all that apply)
Infant and Child Development Program
Family Support
Family Home
EarlyON Child & Family Services
Youth Programs
Housing
Accommodations
Supported Independent Living (SIL)
Employment
Transitions
Respite Services
Community Support Services
3.
How do you rate the services you receive from Empower Simcoe on a scale of 1 - 10? (1-dissatisfied / 10-very satisfied)
1
5
10
Clear
*
4.
What do you like about the services you receive?
(Required.)
5.
If you could change one thing about the services you receive what would it be?
6.
Are you satisfied with Communication from Empower Simcoe?
Yes
No
7.
Please tell us how we can improve our communication to you.
8.
Are you satisfied with the Response Time to your inquiries?
Yes
No
9.
Please tell us what you consider a satisfactory response time.
1 day
2 days
3 days
1 week
10.
How likely is it that you would recommend Empower Simcoe as a Service Agency on a scale of 1 - 10? (1-unlikely / 10-very likely)
1
5
10
Clear
11.
If you agree to be contacted please share your name and email address.
Current Progress,
0 of 11 answered
