We appreciate your feedback!

Thank you for visiting us at the centre. We want to hear about your experience!

Do you have a moment to help us improve our services? We want to be as helpful as we can to the community. Please be completely honest - so that we may learn how to better serve you!

(Identifying yourself is optional but helps us follow up with you if there is further support we can provide after your feedback.)

First Name

Last Name

Email Address

Phone

Date of Centre visit*

Name of the Support Worker that helped you today?*

Heather

Darla

Tracy

Dave

Rebecca

Diane

Was the front desk staff/volunteer friendly & helpful?*

Very

Somewhat

Not Really

Definitely Not

Not Observable

Did your support worker seem interested in you & your needs?*

Very

Somewhat

Not Really

Definitely Not

Not Observable

Was your support worker sensitive & respectful of your beliefs?*

Very

Somewhat

Not Really

Definitely Not

Not Observable

Was the information given by your support worker helpful?*

Very

Somewhat

Not Really

Definitely Not

Not Observable

Were the services provided helpful to you?*

Very

Somewhat

Not Really

Definitely Not

Not Observable

What did you find most helpful on this visit?*

How could we better meet the needs of those facing an unplanned pregnancy?*

Did a member of our team do something that made your experience special or memorable? If yes, please specify so we can let them know.

Enter the code displayed*