durham.ca web update

We’re currently experiencing some technical issues following a website update. Our teams are actively working to resolve this as quickly as possible. Updates will be provided as they become available. 

If you cannot access a page or feature, please try again later. If you need immediate assistance, please contact us at 311 (within Durham Region) or Toll-Free: 1-800-372-1102.

We appreciate your patience. 

Required fields are marked with asterisks (*)

MSAC (PRE SURVEY)

This survey is to be completed at the beginning of service.


Thank you for completing the survey.

The information you provide by completing this questionnaire will help us to understand how you are doing in your day­-to-­day activities and how you are currently feeling. The information you provide will be kept strictly confidential. Your participation in completing this survey is voluntary. You may choose not to complete the survey and you may stop completing the survey at any time.

Please indicate the region that you are located in.
 

EAST

Prescott & Russell
Ottawa
Stormont, Dundas & Glengarry

Leeds & Grenville
Lanark
Renfrew
Frontenac

Lennox & Addington
Hastings
Prince Edward
Haliburton

Peterborough
Northumberland
Kawartha Lakes

CENTRAL

Durham
York

Simcoe
Muskoka

Toronto
Peel

Halton

WEST

Dufferin
Hamilton
Niagara
Norfolk
Haldimand

Brant
Waterloo
Wellington
Grey
Bruce

Huron
Perth
Oxford
Elgin
Middlesex

Lambton
Chatham Kent
Essex

NORTH

Parry Sound
Nipissing
Manitoulin

Timiskaming
Cochrane
Algoma

Sudbury
Thunder Bay
Kenora

Rainy River

 

For each question, select the circle that best describes how strongly you agree or disagree with each statement.

Doing everyday tasks (for example, going to work, attending school, etc.) is easy for me.
 
I do things to help me cope with my feelings, for example, exercising, going to social gatherings, volunteering, etc.
 
I have a good relationship with one or more family members.
 
I have a good relationship with one or more friends.
 
When I need help, I know how to access counselling, crisis support and other services in my community.
 

For each question, please select the circle that best describes how you feel right now.

Please select the circle that best describes how you feel right now.
 
Please select the circle that best describes how you feel right now.
 
Please select the circle that best describes how you feel right now.
 
Please select the circle that best describes how you feel right now.
 
Please select the circle that best describes how you feel right now.
 

Thank you for taking the time to complete this survey. Please click the "Submit" button below to submit your responses.



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