Waterloo Children & Youth Services Planning ... - Social Services

June 2012
experience you may elect to submit more than one survey.
Again, we wish to thank you in advance for taking the time to describe your experience
for us. Should you have any questions about the survey please contact Laurie
Robinson by email at laurie_robinson@rogers.com, or by phone at 519 635-6719.
Questions:
1. Is your child male or female
Pick list 0k
2. Age of your child at the time you began the process of finding/accessing a service
Pick list ok
3. Describe briefly the process you went through to find services for your child
Description box ok
Describe how easy or difficult it was to find information about the service
Description box ok
4. How many contacts (phone calls, visits etc.) did you have to make until you found the
right service
Pick list ok
5. How did you hear about the service you finally found/accessed
Pick list ok
6. Overall, how knowledgeable was the person(s) you spoke to while you were
finding/accessing a service
Pick list ok
7. While going through the process of finding/accessing a service, were you notified of a
complaint process
Pick list
If yes, did you have a complaint Did you report it
Description box ok
8. Approximately how many services or service organizations did you have contact with
before you found the “right” service
Pick list ok
9. Approximately how long did it take you to find the “right” service
Pick list …add “I am still waiting” and “I have never received the right service”
10. Were you placed on a wait list for service If yes, how long did you wait
Pick list
11. At any time were you on more than one wait list for service If yes, how many
Pick list
12. Describe briefly what could have been done to improve your experience
finding/accessing a service
Description box
13. Describe what really worked for you Do you have an example of an intake service that
was exceptional
Description box
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