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 Community Needs Assessment  


As a resident of Haldimand and Norfolk Counties, you are invited to participate in a survey regarding your experience with local health and social services. We are interested in your experience with the Health Unit and Social Services, also known as: the Haldimand Norfolk Health and Social Services (HNHSS) Department and whether it meets your family’s needs. This is a research project conducted by Kate Bishop-Williams, Chimere Okoronkwo and others from HNHSS. The survey will take about 15 minutes to complete. This survey helps the Community Needs Assessment researchers to identify strengths, limitations, and gaps in current health and social services programming.

Your participation in this survey is entirely voluntary. You have the right to refuse to participate in the study, or to refuse to answer any question. You are able to end the survey at any point, if you wish, without penalty.

If you choose to complete the survey, you will be entered into a draw to win one of three $25 gifts cards to a local grocery store. Your participation in this study will have a positive impact more broadly as we learn more about how HNHSS serves the community and what other needs your family and community may have.

There are no known risks to you for participating in this study beyond those encountered in daily life. Should you find any question upsetting, feel free to skip the question. Mental health support numbers are provided at the end of the survey, should you need them.

All survey answers will private and confidential, and will only be used by members of the research team at HNHSS. Your answers are anonymous (you will not be asked for identifying information). This data will be carefully stored to protect all information obtained. The resulting paper or electronic files will be locked or password protected and encrypted.

To complete the survey by phone, please call: 519-426-6170 X 3274. French and Spanish versions of this survey are also available by calling.

If you have any questions about this survey or the Community Needs Assessment that it helps with, you can contact the lead researcher or the chair of the Research Advisory Review Board for HNHSS:

Kate Bishop-Williams                                                    Chimere Okoronkwo

Program Evaluator and Data Analyst                                 Director: QPAP

QPAP                                                                              & Chair of the Research Advisory Review Board

519-426-6170 X 3274                                                      519-426-6170 X 3751


By selecting True, you consent to participate in this survey.