Seniors Programs and Services Information Guide Questionnaire

We Need Your Help!

We'd like your opinion about the Seniors Programs and Services Information Guide. Please take a few minutes to fill out this questionnaire and reply by clicking on the 'Submit' button. If you prefer, you can print off the form and mail or fax your response to:

Client and Information Services
Alberta Seniors and Community Supports
PO Box 3100, Edmonton, AB  T5J 4W3
Fax:  (780) 422-8762

  1. Overall, how would you rate your satisfaction with this guide as an information source for seniors?

    Very
    Satisfied

    Satisfied

    Slightly
    Satisfied

    Slightly
    Dissatisfied

    Dissatisfied

    Very
    Dissatisfied
  2. What section of the guide did you find most useful?
    • Income Support Programs
    • Housing
    • Information and Referral
    • Health Services
    • Helping Agencies
    • Protecting You and Your Information
    • Transportation
    • General Information
    • Recreation and Leisure

    Other (specify) (Note: Maximum of 100 characters)

  3. Do you have any suggestions for how this guide may be improved? (Note: Maximum of 500 characters)
  4. Are you (please select only one):

    Under 65

    65 or over

    Providing services to seniors

To send your response, please click on the 'Submit' button below.

Thank You - your responses will help to ensure the Seniors Programs and Services Information Guide continues to meet your needs.