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Share your experience

Your feedback is essential to quality improvement. Whether you received direct support or participated in a group program, we appreciate you taking the time to review your experience with Golden Age Management.

Cozy Living Room

Community Group and Program Feedback Form

Thank you for participating in Golden Age a Golden Age Management event. Your feedback helps us continue creating meaningful, engaging, and supportive experiences within the community

Participant Information

Program Information

Which type of program did you attend?

Experience

Poor, Fair, Good, Very good, Excellent

Did you feel welcomed and included?
Yes, Completely
Mostly
Somewhat
Not really
Was the program engaging and easy to follow?
Yes, completely
Mostly
Somewhat
Not really

Future programming

Would you attend another program or event?
Definitely
Probably
Maybe
No

Testimonial/ Permission

Would you be comfortable allowing us to share your feedback?
Yes, with my first name
Yes, anonymously
No

Before you submit, please make sure you are submitting the correct form. This form is for those who have attended a community group.


Cozy Living Room

Individual Client Support Feedback Form

Thank you for trusting Golden Age Management.

Your feedback helps us continue providing compassionate, personalized support to seniors, caregivers and families. We appreciate you taking a few moments to share your experience with our In-Home Health and Wellness and/or Life Transition Supports.

Contact Information

Overall experience

Poor, Fair, Good, Very Good or Excellent

Did you feel supported throughout the process?
Always
Most of the time
Sometimes
Not really
Did you feel listened to and understood?
Yes, completely
Mostly
Somewhat
No

Services provided

Which service(s) did you utilize?

Testimonial questions

What words would you use to describe Golden Age Management
Would you recommend Golden Age Management to others?
Definitely
Probably
Maybe
Probably not
Would you feel comfortable allowing us to share your feedback as a testimonial?
Yes, with my first name only
Yes, anonymously
No

Before you submit, please make sure you are submitting the correct form. This form is for those individuals who have received direct services.

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