Intake Satisfaction Survey - Youth

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 do not have to participate in this survey if you don’t want to.
  • Your responses are anonymous and confidential; you do not have to record your name.
  • Your answers will not affect your ability to access services at Intersect.


Please fill out as much information as possible.

Your Information


School
Family Doctor / Pediatrician
MCFD
Hospital
Other Agency
Website / Internet
Other:
Contacted Intersect directly
Formally referred by:
I scheduled an intake appointment.
We had a walk-in intake.
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