Knowledge Sharing for Clients, Families and/or Service Users

Mishkosiminiziibiing (Big Grassy) Customary Care Program
Program Satisfaction Survey

The Big Grassy Customary Care Program (CCP) invites you to provide feedback regarding your relationship and experience with our program!

Confidentiality disclosure: Information collected within this survey will be utilized as part of Mishkosiminiziibiing (Big Grassy) Customary Care Program annual program evaluation for ongoing strategic direction, visioning and service enhancements. Any information collected is protected under Mishkosiminiziibiing's (Big Grassy) privacy practices.

DRAW: For those who provide their contact information, your name will be entered into a DRAW for a $200 VISA Gift Card.

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* 1. Please provide your contact information (need this to qualify for draw):

Name

Type of Relationship with CCP Program (Ex. Client, caregiver, child in care, etc.)

Length of Relationship with CCP Program

Email Address

Phone Number

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* 2. Storytelling your experience, strength and hope with Big Grassy's CCP Program is beneficial to the overall success of the program. Would you be interested in participating in a confidential 1:1 interview with our program evaluators (Binesiwag Center for Wellness)? Interviews would be approximately 30-45 minutes. You will receive a gift for participating.

Yes

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* 3. What resources/services have you utilized from the Big Grassy CCP Team? Check all that apply.

None

Ready Set Go

Youth In Transition

Family or Individual Counselling or Case Management

Prevention Programming (ex. regalia making, craft nights, movie nights, cedar baths, etc.)

Crisis Support- including I & A (Investigation & Assessment)

Referral for additional support

Specialized Programming or Services (Ex. Family Circle, Family Sweat)

Other (please specify what service was provided)

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* 4. Do you feel the services offered by the Big Grassy CCP Team support the needs of you and your family?

Yes

If no, please share why.

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* 5. All relationships are unique. Are they any specific services or programs that the Big Grassy CCP Team should consider providing in the future? Please list below.

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* 6. In what ways does the Big Grassy CCP Team provide or offer culturally-safe services?

Healing Circles

Sharing Circles

Traditional Counselling

Language Learning Opportunities (Anishinaabemowin)

Smudging

Regalia Making

Moccasin Making

Full Moon Ceremony

Concho Belt Making

Dentalium Workshop

Cedar Bath Ceremonies

Traditional Parenting

Other ceremonies (ex. sweat lodge, naming ceremony, etc.)

Other (please add any other culturally-safe practices)

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* 7. How should the Big Grassy CCP Program ensure its services are community-focused and driven?

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* 8. Through your experience, how do you see the program being improved? Please include any service gaps or barriers you encounter.

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* 9. Please share one impactful story, whether positive or negative, from your experience with the Big Grassy CCP Program.

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* 10. How would you rate the overall impact that the Big Grassy CCP Program has had with you, your family or community?

No Impact

Little Impact

Neutral

Impactful

Highly Impactful

No Impact

Little Impact

Neutral

Impactful

Highly Impactful

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* 11. In what ways can the Big Grassy CCP Team reach you better?

Additional Marketing and advertising (posters, social media posts, etc.)

Increase Focus Groups

Increase communication (emailing updates, connecting by phone)

Increase Community Consultation (Surveying, Online Forums, etc)

Other (please add anything else you can think of)

Knowledge Sharing for Clients, Families and/or Service Users

Mishkosiminiziibiing (Big Grassy) Customary Care ProgramProgram Satisfaction Survey

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* 1. Please provide your contact information (need this to qualify for draw):

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* 3. What resources/services have you utilized from the Big Grassy CCP Team? Check all that apply.

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* 4. Do you feel the services offered by the Big Grassy CCP Team support the needs of you and your family?

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* 5. All relationships are unique. Are they any specific services or programs that the Big Grassy CCP Team should consider providing in the future? Please list below.

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* 6. In what ways does the Big Grassy CCP Team provide or offer culturally-safe services?

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* 7. How should the Big Grassy CCP Program ensure its services are community-focused and driven?

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* 8. Through your experience, how do you see the program being improved? Please include any service gaps or barriers you encounter.

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* 9. Please share one impactful story, whether positive or negative, from your experience with the Big Grassy CCP Program.

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* 10. How would you rate the overall impact that the Big Grassy CCP Program has had with you, your family or community?

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* 11. In what ways can the Big Grassy CCP Team reach you better?

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* 12. Lastly, what do you envision for the Big Grassy CCP Team? What do you see in their future?

Mishkosiminiziibiing (Big Grassy) Customary Care Program
Program Satisfaction Survey