Support & Housing - Halton
Client Survey
2014
Thank you for agreeing to complete
this survey on your experience over
the last year (in 2014) with the
programs at Support & Housing –
Halton. Your feedback is important to
us and will be used, along with the
feedback of others, to help us make
improvements to our programs where
needed.
If you prefer to do this survey on-line, please type in
the following link in your web browser and it will take
you to the survey.
https://www.surveymonkey.com/s/PNNK67Z
You can do this survey either by completing this form or by going online and completing the
web version of the survey, whichever you find easier. Either way, your answers will remain
anonymous. Only the researcher doing the analysis of the survey will see your answers. She will
be developing a report that summarizes the responses from everyone who completes the
survey. There is no identifying information on the survey so, while she may use quotes from
some of the surveys in her report, at no point will any individuals be identified.
If you choose to do this paper version of the survey rather than doing it on-line, when you have
completed it please place it in the envelope it comes with, seal the envelope and either give it
to your Support Coordinator or put it in the mail. NO POSTAGE IS REQUIRED (it is prepaid.)
Envelopes containing surveys will be given to the researcher unopened and the paper copies of
the surveys will be destroyed after the researcher has completed the analysis of everyone’s
responses.
If you are doing the survey on-line, once you have completed it and clicked on “Done”, there is
nothing else you need to do.
PLEASE complete the survey no later than Tuesday, March 31,
2015.
Once again, thank you for your time and participation.
Support & Housing - Halton
Client Satisfaction Survey 2014
1.
In what programs at Support & Housing - Halton are you currently involved? (Please put a check
mark beside each one in which you are currently involved.)
Support within housing
Housing
Ready4Life
T.E.A.C.H.
Grace House
2.
3.
How long have you been involved in this program/these programs? ( Please check off only 1
answer.)
Up to 6 months
Between 6 months and 12 months (1 year)
More than 12 months (1 year) - 3 years
More than 3 years
For someone using the services of Support & Housing - Halton, there are a number of things that
might or might not be important to them when receiving service. Please tell us how important
the following things are to you by telling us how strongly you agree or disagree with each of the
following statements (please circle your agreement or disagreement for each statement.)
Staff should be friendly.
Strongly
disagree
Visits and appointments should be scheduled
to meet my needs.
Strongly
disagree
Staff should be easy to contact.
Strongly
disagree
Staff should have good technical, physical or
professional skills when responding to my
needs.
Strongly
disagree
Disagree
Staff should treat me respectfully.
Strongly
disagree
Disagree
Information I receive should be useful to me.
Strongly
disagree
Information I receive should be easily
understood.
Strongly
disagree
Disagree
Disagree
Disagree
Disagree
Disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Agree
Strongly
agree
Agree
Strongly
agree
Agree
Strongly
agree
Agree
Strongly
agree
Agree
Strongly
agree
Agree
Strongly
agree
Support & Housing - Halton
Client Satisfaction Survey 2014
I need to be comfortable talking to staff and asking
questions.
Strongly
disagree
Disagree
Neither agree
nor disagree
Agree
Strongly
agree
When I am with staff, their focus should be on me
as an individual.
Strongly
disagree
Disagree
Neither agree
nor disagree
Agree
Strongly
agree
Staff should treat everyone fairly, regardless of who
they are.
Strongly
disagree
Disagree
Neither agree
nor disagree
Agree
Strongly
agree
Staff should provide information about other
services and supports in the community that can be
used by people.
Strongly
disagree
Disagree
Neither agree
nor disagree
Agree
Strongly
agree
Comments:
4.
In the last question, we asked you about things that might be important to you when you
receive service. In this question, we want you to think about these same things, but this time we
want you to tell us what your actual experience has been in the services you receive. So,
thinking about your experiences at Support & Housing - Halton within the last year (in 2014),
please tell us whether you agree or disagree with the following statements by circling
your response.
Staff in the program(s) are friendly.
Agree
Disagree
Visits and appointments are scheduled to meet my needs.
Agree
Disagree
I can easily contact staff.
Agree
Disagree
Staff have good technical, physical or professional skills when responding to
my needs.
Agree
Disagree
Staff treat me respectfully.
Agree
Disagree
I can use the information I receive.
Agree
Disagree
I can understand the information I receive.
Agree
Disagree
Staff are easy to talk to and I am comfortable asking questions.
Agree
Disagree
When I am with staff, their focus is on me as an individual.
Agree
Disagree
Staff treat everyone fairly, regardless of who they are.
Agree
Disagree
Staff have given me good information about other services and supports in
the community that I can use.
Agree
Disagree
Comments:
Support & Housing - Halton
Client Satisfaction Survey 2014
5.
There are many reasons why people might find it difficult to attend a program or attend
appointments. Please read the list below and tell us whether you agree or disagree with each of
the following statements. Please circle
your response.
The program(s) are easy to get to.
Agree
Disagree
The buildings and physical space in the program(s) are easy to get around in.
Agree
Disagree
This program(s) are warm and welcoming to everyone, regardless of
background, race, ability or sexual orientation.
Agree
Disagree
The program(s) can be accessed at times that work with my schedule.
Agree
Disagree
Comments:
6.
Thinking about the last year (in 2014), please indicate how strongly you agree or disagree with
the following statements. (please circle
your agreement or disagreement with each
statement.)
The program(s) at Support &
Housing – Halton have helped
me cope better with everyday
activities.
Strongly
disagree
The program(s) at Support &
Housing – Halton have helped
me set positive goals and
work towards achieving them.
Strongly
disagree
The program(s) at Support &
Housing – Halton have helped
me deal more effectively with
crises in my life.
Strongly
disagree
The program(s) at Support &
Housing – Halton have helped
me to go to the hospital less
often.
Strongly
disagree
The program(s) at Support &
Housing – Halton have helped
me have better relationships
with friends and family.
Strongly
disagree
The program(s) at Support &
Housing – Halton have helped
me be more physically active
in my everyday life.
Strongly
disagree
When I provide feedback or
make suggestions about the
program(s) at Support &
Housing – Halton, I feel my
ideas are heard.
Strongly
disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Support & Housing - Halton
Client Satisfaction Survey 2014
The program(s) at Support &
Housing – Halton have helped
me become more active in my
community.
Strongly
disagree
My involvement with Support
& Housing - Halton has
improved my confidence and
self-esteem.
Strongly
disagree
I have a clear understanding
of all the services offered by
Support & Housing - Halton .
Strongly
disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
Does not
apply to me
Comments:
7.
If a friend were in need of similar help, would you recommend this program(s) to him or her?
Please circle
your response.
No definitely
8.
Yes generally
Yes definitely
Overall, how would you rate the care you received at/through this program(s)? Please
circle
your response.
Poor
9.
No not really
Fair
Good
Very Good
Excellent
Do you have any other comments about the program(s) that you would like to add? (Please use
back of this page if necessary.)
Thank You for Your Participation!