Thank you for taking the 10 to 20 minutes to complete this important survey about your experience with Senior Persons Living Connected (SPLC) in 2017. Your feedback to surveys in previous years has informed decisions about quality improvement plans and new funding applications.

Please use the enclosed postage-paid envelope to return completed surveys, or drop it off at our customer service desk at 3333 Finch Ave East by Friday, November 17, 2017. Alternatively, you can complete the survey online at:         www.surveymonkey.com/r/splcces2017

If you require assistance to complete this survey, please phone Lydia at 416 493-3333 extension 267. The results of the survey will be posted on our website at www.splc.ca.
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* 1. Which of the following best describes you? (Check all that apply)

* 2. Which age group are you in?

* 3. What language would you prefer to receive services in?

* 4. How do you find the facilities at our main site 3333 Finch Ave E?

  Yes Somewhat No
Physically accessible
Easy to find my way around
Clean
Well-maintained
Welcoming and comfortable
Tidy
Safe

* 5. We provide services at other locations ie Wishing Well, Public Library. Do you find our other locations to be:

  Yes Somewhat No Not Applicable
Physically accessible
Easy to find my way around
Clean
Well-maintained
Welcoming and comfortable
Tidy
Safe

* 6. Please select your level of satisfaction with each of the services below that you or the person you care for used in 2017. Please mark all that apply.

  Not Satisfied Somewhat Satisfied Satisfied Very Satisfied Not Applicable
Assisted Living
Caregiver Education and Support
Case Management
Chronic Disease Self-management Program
Day Programs
Friendly Visiting
GAIN Community Team
Health Promotion (Wellness Workshops and Clubs, SALT, Garden Clubs)
Meals on Wheels
Personal Care and Homemaking
Physician Services (Blood Pressure and Blood Sugar Clinic, Geriatric Psychiatrist)
Recreation Programs
Security Checks
Support Groups
Terrace Restaurant
Transportation

* 7. The services I receive from SPLC contribute to my:

  Completely Somewhat Not At All Don't Know
Independence
Quality of Life
Ability To Stay At Home

* 8. The services that I receive from SPLC meet my needs

* 9. Please answer the following if you receive Adult Day Program services and/or other care in your home

  Strongly Agree Agree Disagree Strongly Disagree Not Applicable
Staff regularly wash their hands or wear gloves when providing direct care
I am instructed on safety measures related to care in my home environment
The people who provide my service ask my permission before starting

* 10. I receive services from SPLC at times (example: hours or days) that are good for me.

* 11. Staff from SPLC always listen carefully to me.

* 12. Staff from SPLC explain things in a way that is easy to understand.

* 13. I am treated with courtesy and respect by staff of SPLC

* 14. The services that I receive from SPLC are sensitive to who I am as a person (for example: language, culture, gender, sexual orientation, religion, or disability).

* 15. SPLC asked for my input to identify my needs for care, services or programs.

* 16. When I needed more help, I was connected to other services at SPLC and other service providers. (example: medical services, Community Care Access Centre (CCAC))

* 17. If SPLC referred me to another service provider (example: hospital, Community Care Access Centre (CCAC)), information about my needs was shared with my consent, so I don't have to tell my story again.

* 18. Overall how satisfied are you with the help you or someone you care for have received from SPLC

* 19. Would you recommend SPLC to another family member or friend?

* 20. Do you have any other comments about Senior Persons Living Connected and your experience in 2017?

Please help inform us with future planning by answering these two questions:

* 21. What are your biggest challenges to maintaining health and independence?

* 22. How can we best support your needs/the needs of seniors in the future? What would that look like?

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