Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. St.Amant Heritage Project - External The St.Amant Heritage project aims to capture and preserve our oral history from our current and former community members. This project is supported in part by Centennial Grant # 20213113 from The Winnipeg Foundation. Please tell us a bit about who you are and some of your experiences as a St.Amant historian. If you have any questions or would like more information about the project please contact us at email@example.com or 204.256.4301 ext. 5483. Everyone who shares their story is entered into a draw to win one of five $75 gift cards. The draws occur every month until November. OK Question Title * 1. Contact Information: First name Last name Email address or Phone number Mailing address OK Question Title * 2. How are you connected to St.Amant? (check all that apply) I currently work at St.Amant I worked at St.Amant in the past I currently volunteer at St.Amant I volunteered at St.Amant in the past I am receiving services or support from St.Amant I received services or support from St.Amant in the past My family member is receiving services or support from St.Amant My family member received services or support from St.Amant in the past Other (please specify) OK Question Title * 3. When were you connected to St.Amant? (check all that apply) Before 1970 1970s 1980s 1990s 2000s 2010s 2020s OK Question Title * 4. Which programs have you been connected to at St.Amant? (check all that apply) Autism Programs (formerly ABA Program) Clinical Services Community Residential Program Community Services Corporate Services Health & Transition Services (formerly River Road Place) Jordan’s Principle Operations River Road Childcare St.Amant Foundation St.Amant Research Centre Volunteer Services Other (please specify) OK Question Title * 5. Please tell us a bit about your background and how you are connected to St.Amant. OK Question Title * 6. When you reflect on your time with St.Amant, what memories really stand out and come to mind? OK Question Title * 7. Why do you think those memories have stuck with you? OK Question Title * 8. Are you interested in participating in a telephone interview? Yes No I’d like more information OK Question Title * 9. We don’t want to lose touch again. Can we add you to our email list? Yes No OK WE THANK YOU FOR YOUR TIME SPENT COMPLETING THIS SURVEY.