top of page

Polyphonic

Last Day Survey

As part of delivering this program through a grant from the Department of Social Services (DSS), we are required to ask a few short questions. Please complete the form below.


Let us know if you need any assistance completing this form.

--

If this is the participant, enter your name again.



  1. Community Participation


  1. Mental Health


  1. Skills


  1. Independence


  1. Experience


  1. Support


Program Feedback

How helpful was the Polyphonic Guidebook during the program?
Not helpful
A little helpful
Somewhat helpful
Helpful
Very helpful

Which activities did you enjoy?

bottom of page