Full Calgary Dollars Intake Survey


   
 
This program is funded by FCSS.


New Users, fill out this survey and receive your free C$15! Use your full name so we can credit you.                                          

The information gathered here helps us to evaluate our program, which is essential to meet our funding requirements, and helps make Calgary Dollars work better for you. Please be assured that your answers are entirely confidential. 

People take on average 6 minutes to complete it. Each person who finishes the survey receives free C$15 Calgary Dollars.
You also receive C$5 for the first five new listings you post!
If you have any questions or need assistance completing the survey, please contact us at 403.270.3200 or info-at-calgarydollars.ca.

Thanks! Calgary Dollars Staff
 

*1) What is your first name?

*2) What is your last name?

*3) What is your contact information? (Email address & phone #)

This demographic information is required by our funders, it is anonymous and will not be linked with your name or contact information.

*4) What is your date of birth? (Year/Month/Day = 2022/Jan/22)

*5) If you are still in school, what grade are you in? N/A if you are not.

*6) What is your gender?

*7) What neighbourhood do you live in? (please enter a neighbourhood such as Sunnyside, Southview, Castleridge, etc).

*8) Please enter the first 3 digits of your postal code.

*9) What language is spoken most often at home?

*10) What is your primary population group? Please choose the one that best applies.

*11) Indigenous / Aboriginal identity: Choose only one

*12) Were you born in Canada?

13) If you were not born in Canada, what is your country of birth?

14) If you were not born in Canada, what was the year of your arrival? (YYYY)

*15) What is your marital status?

16) Primary income source: (please check only one)

17) Current Housing Situation

18) Highest grade completed in school:

(Finished)

19) Highest level of education completed after high school, if applicable:

*20) Please pick the best option for each question. Do you have any long-term (over 6 months):

*21) Total number of adults (18 or older) in your household, including yourself?

22) Total number of people under the age of 18 in your household, including yourself?

23) Total number of people in your household?

*24) How did you find out about this program (Calgary Dollars)? Choose only one.

These questions are required by our funders and help us evaluate the Calgary Dollars program.

These questions ask how often you see other people or get involved in different activities in your neighbourhood and wider community. Please select your answer for each statement that is closest to your opinion. 

*25) My neighbours tell me their news or I tell them mine.

*26) I chat with my neighbours

*27) I take an active part in organized group activities in my community

*28) I am an active member of at least one sporting, hobby or community-based club or association.

*29) I attend events that bring people together such as parties, shows, festivals or other community events

*30) Are you comfortable checking your account balance on a computer? A phone?

*31) We believe everyone has something to offer their community! What would you like to offer your community?

Some examples of goods and services people could offer include: -Organising events, dog walking or grocery shopping -Gently used clothing, games, or appliances -Repair services, equipment rental or tool sharing -Tutoring, childcare, language or music lessons -Homemade baking, knitted items, refurbished furniture or maintenance

32) Do you have any other comments or suggestions about Calgary Dollars?

Thank you! Remember to Submit. 


Contact us if you have any questions:  info-at-calgarydollars.ca  or  403.270.3200.

Please allow 7 business days for your reward to be processed. 
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