Guide to Government of Canada Services for Seniors

Feedback Form

We are pleased that you have had an opportunity to review Services for Seniors - Guide to Government of Canada Services for Seniors and their families.

We would like to hear from you. Please take a few minutes to complete this form. Your feedback will be helpful to us in developing future publications. All responses are completely confidential and no information identifying you as an individual is collected.

Please note that the feedback you provide is for information only and will not receive a response. Do not include any personal information.

1. How did you first hear about the Services for Seniors guide?
   

   Service Canada Centre
   1 800 O-Canada
   Internet
   Fairs and Events
   Direct Mail
   Advertising
   Word of Mouth
   Other. Please specify:

2. Please indicate if you found the information in the guide:
   

   Very useful
   Useful
   Somewhat useful
   Not useful
   None of the above. Please specify:

3. Please indicate if you found the information in the guide:
   

   Very clear
   Clear
   Somewhat unclear
   Unclear
   None of the above. Please specify:

4. Please rate the quality of each of the statements below using a scale from 1 to 5, where 1 is very poor, 5 is excellent, and N/A means not applicable.
   

   	Very Poor	Poor	Neutral	Good	Excellent	Not Applicable
   This guide is easy to read	1	2	3	4	5	N/A
   The guide provides clear information	1	2	3	4	5	N/A
   Information is easy to find	1	2	3	4	5	N/A

5. Please check below one or more sections that were useful to you.
   

   Finances and Pension	Consumer Issues
   Health and Wellness	Travel and Leisure
   Housing	Computers and Learning
   Safety and Security	Key Publications
   Veterans and Canada's Military	Provincial and Territorial Contacts/Seniors-related enquiries

6. In which format did you access the guide? (Please select all that apply.)
   

   Print
   On-line
   Alternate format. Please specify:

7. The following items describe different design elements of the guide that affect how the information is presented. Please rate the quality of each element using a scale from 1 to 5, where 1 is very poor, 5 is excellent, and N/A means not applicable. (Please only select one ranking for each element.
   

   	Very Poor	Poor	Neutral	Good	Excellent	Not Applicable
   Layout	1	2	3	4	5	N/A
   Font Size	1	2	3	4	5	N/A
   Cover Design	1	2	3	4	5	N/A
   Colours	1	2	3	4	5	N/A
   Images	1	2	3	4	5	N/A

8. Do you have any suggestions or comments on how the guide could be improved?
   

The following general questions will help us to better understand your particular needs.

9. What best describes you? I am... (Please select all that apply)
   

   50 or older
   Near retirement
   A family member or caregiver of a senior
   Working for an organization, association or advocacy group dealing with seniors' interests / issues
   A service provider (e.g. a health care professional, educator or social worker)
   Other. Please specify:

10. If you represent an organization, would you recommend this guide to your clients?
    

    Yes
    No. Why?

11. In which province or territory do you currently reside?
    

    British Columbia	Prince Edward Island
    Alberta	New Brunswick
    Saskatchewan	Nova Scotia
    Manitoba	Nunavut
    Ontario	Northwest Territories
    Quebec	Yukon
    Newfoundland and Labrador
    I live outside of Canada. Please specify location: