Needs Assessment Survey

1. What is your age group?

2. What hamlet do you live in? *

3. What gender do you indentify as?

4. Do you identify as an Aboriginal person in Canada such as First Nation, Metis or Inuit

5. How do you receive information about Land O'Lakes Community Service's Programs?

Other:

6. Have you or your family used Land O'Lakes Community Services?

If Yes, please identify:

If No, why not?

7. How would you like to communicate with Land O'Lakes Community Service's staff?

8. Were staff able to provide assistance for your questions?

If Yes, what service information was provided?

If No, what services were you enquiring about?

9. What activities/services would your be interested in the future?

Please specify:

Please specify:

Please specify:

Please specify:

10. What are we doing well?

11. What areas do we need to improve?

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