BeConnected Satisfaction Survey for Family Members
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1. If you wish to enter your name please fill in the box below. To submit anonymously just skip to the next question. Thank you.
2a. Which of the following programs or personnel do you have the most contact with (Can select as many as applies):
Administration/Financial Team
Senior Leadership Team
Staffed Living Team
Children and Youth Respite Services
Launchpad
Outreach
Contracted Services Team (Home Share, Community Inclusion, Supported Independent Living, etc.)
2b. If you answered yes to either "Staffed Living Team" or "Children or Youth Respite Team" above please indicate which program:
Carey
Chrystal
Forrester
Galbraith
Heights
Highrock
Hill
Hybury
Onyx
Parkside
Phelps
Pearl
Prairie
Shearwater
Tamarack
3. Which category best describes you?
Family Member
Friend
Advocate
Other, please specify...
4. Which region does your family member receive BeConnected services in?
Victoria and South Island
Duncan and Cowichan Valley
Nanaimo and North of Nanaimo
Gulf Islands
Other, please specify...
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