Active Service Survey - Child

Your feedback on the services at Intersect is important. We use this information to make sure we are meeting your needs in a meaningful way, to identify areas we can improve on and to plan for the future.

What to know about this survey:

  • You don't have to do it if you don't want to.
  • Don't write your name. No one will know what your answers are so you can feel more comfortable to tell us what is on your mind about your time here.
  • Your answers will not hurt our feelings or make it so you can't come here.


Please fill out as much information as possible.

Your Information


1-5 6-10 11-20 20-30 over 30

Please indicate which of the following services you and your family have accessed at Intersect

In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list
In the past Currently On waiting list

Disagree Agree Not sure
Disagree Agree Not sure
Disagree Agree Not sure
Disagree Agree Not sure
Disagree Agree Not sure
Disagree Agree Not sure

Yes No

 





Important: Click the "I'm not a robot" checkbox above, before clicking the 'SEND' button.