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  5. Client experience at GTA survey
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Exit Survey
 
 

Welcome to Geneva Centre for Autism (GCA) Client Experience Survey. As we value our every client, our goal is to provide you with best services as well as support you and your family. To ensure that we are satisfying your needs and expectations, we would appreciate your help by taking 10-15 minutes to complete this survey. Your feedback will help us assess your needs and meet or exceed your expectations.
Please be assured that your responses will be completely anonymous and confidential.
Please respond to all questions in each section for which you had any experiences at Geneva Centre for Autism (GCA). Your comments are appreciated and will greatly help us to learn about what we are doing well and what we need to do better.
Please start your survey by clicking on the Next button at the bottom of this page.
 
 
 
 
* Q1.Please tell me who you are?
 
Parent or caregiver of child/adult with autism.
 
Adult with autism.
 
None of above.
 
 
 
Q2. What services is your child or yourself enrolling in currently? (Check all that apply)---Needed to be specified??

 
Services for children
 
Services for parents/caregivers.
 
Services for Youth and Adults.
 
Other,please specify
 
 
 
 
Please indicate your gender
 
Male
 
Female
 
Other
 
Prefer not to say
 
 
 
Please indicate your child’s gender
 
Male
 
Female
 
Other
 
Prefer not to say
 
 
 
What age category are you in ?
 
Less than 18 years old
 
18-28 years old
 
29-38 years old
 
39-48 years old
 
49-58 years old
 
59 years or older
 
Prefer not to say
 
 
 
What age category is your child in?
 
Less than 18 years old
 
18-28 years old
 
29-38 years old
 
39-48 years old
 
49-58 years old
 
59 years or older
 
Prefer not to say/Not applicable
 
 
 
* What area do your family live in currently?
 
Old Toronto (Downtown area)
 
East York
 
Etobicoke
 
Scarborough
 
North York
 
Outside Toronto
 
 
 
Also, please provide the first three digits of your postal code (e.g. M5N)Check above link to find your postal code
   
 
 
 
Which of the following statements best describes how you heard about Geneva Centre for autism?
 
My child or myself attended the workshop at Geneva Centre for
 
I happened upon Geneva Centre for Autism website through an online search and took my child here.
 
I read about Geneva Centre for Autism in a news article or newsletter and then took my child here.
 
I followed Geneva Centre for Autism through Facebook/Twitter/Instagram or other social media.
 
I came into Centre Centre for Autism in terms of another agency or physician’s recommendation.
 
Other,please specify