Community Living Essex County is at the beginning stages of exploring the feasibility of ‘My Support Link,’ a user-friendly online platform for families to connect with one another around supports and services, sharing resources and accessing affordable and flexible supports.  

As a family member your input is key to the development of this online resource. We ask that you take 10 minutes to complete this survey – your answers will help guide our decision-making.  We thank you for your time and valuable input.

Please provide us with your postal code to identify the area in which you live.

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* 1. Please provide us with your postal code to identify the area in which you live.

How many people live in your home?

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* 2. How many people live in your home?

How many members of your immediate family have an intellectual disability?

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* 3. How many members of your immediate family have an intellectual disability?

How old is/are your family members with an intellectual disability?

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* 4. How old is/are your family members with an intellectual disability?

Please indicate how likely it is that you would use ‘My Support Link’ to connect with other families:

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* 5. Please indicate how likely it is that you would use ‘My Support Link’ to connect with other families:

  Very Likely Likely Unlikely
To explore sharing support or pooling resources
For support, guidance and friendship
Please indicate if you would use ‘My Support Link’ to gain access to:

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* 6. Please indicate if you would use ‘My Support Link’ to gain access to:

  Very Likely Likely Unlikely
Locate and Hire Support Workers/Respite Workers
Locate & access agency supports to assist your family member to explore volunteerism, find employment, participate in educational, recreation & leisure opportunities in the community.
Please indicate if you would use ‘My Support Link’ to find connections to:

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* 7. Please indicate if you would use ‘My Support Link’ to find connections to:

  Very Likely Likely Unlikely
Shared transportation
Classified advertising for specialized equipment, vehicles, and other goods and services relevant to supporting people with a disability
Please indicate if you would use ‘My Support Link’ to gather information on:

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* 8. Please indicate if you would use ‘My Support Link’ to gather information on:

  Very Likely Likely Unlikely
Financial and estate planning services
News & press releases relevant to supporting your family
Family support websites
Community Living Essex County services and events
If you were looking for respite services, where would you prefer to have respite provided?  Please rate your choices in order of preference.

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* 9. If you were looking for respite services, where would you prefer to have respite provided?  Please rate your choices in order of preference.

  1st 2nd 3rd 4th
In your own home
In an Agency owned or operated home in the community
In a combination of the above
With another family, in an approved host family home
If you are looking to purchase respite services for your family member, please identify which type(s) of respite support you are most interested in. Please check all that apply.

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* 10. If you are looking to purchase respite services for your family member, please identify which type(s) of respite support you are most interested in. Please check all that apply.

  1st 2nd 3rd 4th 5th 6th
Weekend respite (typically Friday night to Sunday evening)
3 or more consecutive days to accommodate a vacation, business trip or other need for a break
Only evenings
Only during the day
A few hours here and there during the week
A few hours here and there on weekends
If you were to purchase services for your family member, would you be using:

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* 11. If you were to purchase services for your family member, would you be using:

Would you consider linking online with other families who share similar support needs to combine your resources and purchase services together?

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* 12. Would you consider linking online with other families who share similar support needs to combine your resources and purchase services together?

In general, what level of interest do you have in visiting and using an online resource, such as My Support Link, to connect with other families, potentially share resources, and access information about services available to you and your family member with an intellectual disability?

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* 13. In general, what level of interest do you have in visiting and using an online resource, such as My Support Link, to connect with other families, potentially share resources, and access information about services available to you and your family member with an intellectual disability?

To help us develop My Support Link we are holding focus group discussions with families on Monday, June 20th to learn more about what features you would like My Support Link to include.  Please let us know if you are able to join us at one of the following times at Community Living Essex County’s office at 372 Talbot Street North, Essex, Ontario, N8M 2W4.

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* 14. To help us develop My Support Link we are holding focus group discussions with families on Monday, June 20th to learn more about what features you would like My Support Link to include.  Please let us know if you are able to join us at one of the following times at Community Living Essex County’s office at 372 Talbot Street North, Essex, Ontario, N8M 2W4.

How would you rate your current level of awareness of Community Living Essex County and the work that it does?

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* 15. How would you rate your current level of awareness of Community Living Essex County and the work that it does?

Tell us in a sentence or two, when you think of Community Living Essex County, what comes to mind for you?

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* 16. Tell us in a sentence or two, when you think of Community Living Essex County, what comes to mind for you?

Please feel free to leave any other comments or suggestions in the comment box provided below.

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* 17. Please feel free to leave any other comments or suggestions in the comment box provided below.

Thank you very much for completing our survey! Your opinions are very important to us and we hope to see you at our focus group on June 20. If you require assistance in completing this survey or have any questions, please feel free to contact Community Living Essex County at 519-776-6483 and we will be glad to help.

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