Multi-Service Centre and Stonebridge Community Services Customer Feedback Survey

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* 1. Please let us know the date of the service you are providing feedback for.

Date / Time

Date

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* 2. Which service did you use?

Foot Care

Housekeeping

Transportation

Meals on Wheels

Grocery Buddy Program

Home at Last/LEGHO

Assisted Living

Stonebridge Exercise Program

Stonebridge Respite Services

Stonebridge Personal Care

Literacy Skills Upgrading

Computer/Digital Skills Upgrading

Employment Services

Canada-Ontario Job Grant

Other (please specify)

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* 3. How would you rate the service you received?

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* 4. What did you enjoy about your service?

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* 5. Was there anything that could have been improved on for your service?

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* 6. How likely are you to use this service again?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 7. Please let us know of anything else you would like to share with us, or leave your name and phone number if you would like us to contact you to follow up on your comments.