Client Feedback Survey
Please help us improve the quality of our programs and services by completing the following questions.
Your feedback will remain anonymous unless you choose to share your name.
1. What time of day would you prefer the Alzheimer Society programs and services to run? (select all that apply)
Morning
Afternoon
Evening
Anytime
2. How frequently would you prefer programs and services to run?
Weekly
Bi-weekly
Monthly
Other (please explain)
3. Do you prefer in-person, or online/virtual programs and services?
In-person
Online/virtual
Either in-person or online
4. Which days of the week are most convenient for you to participate (select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
5. What are your barriers to participation? (select all that apply)
Transportation
Frequency
Weather
Location
Time of day
Family needs
Facility
Attending other programs and services
Personal choice
Other (please explain)
6. What is the most important program and service for you? (select all that apply)
Behavioural Supports
Counselling
Education
H.A.C.
First Link Care Navigation
Intensive Case Management
Respite
Social Programs (Social Cafe, Creative Expressions)
In-Home Social Recreation
Teleconnect
Other (please comment)
7. Does the Alzheimer Society help you to achieve your goals?
Yes
No
Somewhat
Please elaborate and provide some examples of your goals
8. What would you like to gain from attending Alzheimer Society programs and services? (select all that apply)
Education
Supports
Information
Social connection
Other (please explain)
9. Looking forward, what other programs and services could we offer?
10. What are some suggestions you have for improving experiences for yourself and others?
11. Would you like us to contact you to further discuss our programs and services?
If yes, please include your name and contact information in the box below.