Intake Satisfaction Survey – Caregiver

Your feedback on the services at Intersect is important.

We use this information to make sure we are meeting your needs in a meaningful way, to identify areas we can improve on and to plan for the future

What to know about this survey:

  • You don’t have to do it if you don’t want to.
  • Your responses are anonymous and confidential; you do not have to record your name.
  • Your answers will not affect your ability to access services at Intersect.

Please fill out as much information as possible.

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Child/Youth's Information

Person completing the Survey Information



How did you hear about Intersect Youth & Family Services?
Check all that apply
Did you contact us directly (self-referral) or were you formally referred by another agency/service provider in the community?
What kind of intake appointment did you have?

Please indicate how much you agree with the following statements:

It was easy to find Intersect's contact information.
It was easy to find Intersect’s building.
We didn't have to wait too long to come in and see somebody.
I felt welcomed when I came to Intersect.
The intake process was clearly explained to me.
My concerns and needs were addressed.
My child's culture and religious beliefs were respected.
My child's gender and sexual orientation were respected.
I left knowing what the next steps are for my family.
The service plan (next steps) will be helpful for my family.
I learned about other places I can go to get help for my family, including in Prince George and online.
I know what to do if I have a concern or complaint about the services my family receives at Intersect.
I understand what confidentiality is.
I felt safe.
I felt respected.
I felt comfortable.
I felt heard.
I feel more hopeful now.
I would refer my friends/family to Intersect.
Overall, I was satisfied with my visit to Intersect.
Consent(Required)
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