Family Day Kits Survey

2. Participant Survey: Family Day Activity Kits
   Please answer the following questions honestly. Participants are entered to win one of 2 prizes.
4. This kit made me feel more connected to my family members/loved ones.*

   1. Strongly Agree
   2. Agree
   3. Neutral
   4. Disagree
   5. Strongly Disagree
5. The resources included in the kit were useful and relevant.*

   1. Strongly Agree
   2. Agree
   3. Neutral
   4. Disagree
   5. Strongly Disagree
7. I felt that the activities in the kits were useful.*

   1. Strongly Agree
   2. Agree
   3. Neutral
   4. Disagree
   5. Strongly Disagree
8. My child(ren) enjoyed the activities included in the kit.*

   1. Strongly Agree
   2. Agree
   3. Neutral
   4. Disagree
   5. Strongly Disagree
10. I am looking for support in the following areas:*

    1. Child & Teen Development
    2. Mental Health & Wellbeing
    3. Stress Management for myself
    4. Stress Management for my Child(ren)
    5. Parenting Support & Strategies
    6. Financial Support
    7. None of the above
    8. Other (please indicate in text box below)
12. Additional comments or suggestions for support/programs
14. Your Name
16. Contact Information *
    The best method for us to contact you (your phone number or email address).
17. Alternate Contact Method (optional)
19. Any additional comments?
    Please use this section to share any additional thoughts or comments you had about the kits.
21. Thank you for completing the survey!
26. 
27. 
29. FOIP
    The personal information is being collected for activities related to applying for, creating, distributing, and tracking permits for the City of Chestermere, and as such is deemed to be an activity of the City of Chestermere. The personal information is collected under the authority of Section 33(1)(c)of the Freedom of Information and Protection of Privacy Act, and will be used only for the purpose identified. If you have any questions or concerns about the collection or use of information you may contact the FOIP coordinator at the Municipal Office, 105 Marina Road, Chestermere, AB T1X 1V7 or call 403-207-7050
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field