Get Connected, Get Active Program

Information Session Evaluation Form

Thank you for attending the Get Connected, Get Active Information Session. We would like to know if the information we provided has been useful to you. Please take a few moments and submit your feedback using the following. 

1. Was the information helpful?

If yes, what information did you find most helpful? Select all that apply.

If no, what could we do to improve the session? Select all that apply.

2. Are you interested in the Recreation Financial Assistance Program?

If no, why? Select all that apply.

3. If you are a new applicant, how did you find out about Get Connected, Get Active? Select all that apply.

Collection and Use of Personal Information

*By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act. The information provided by you will be used solely for your evaluation of the Get Connected, Get Active Information Session. Your information will not be used for any other purpose. If you have any questions about the collection, storage, correction and | or use of your personal information, please contact Geri Briggs-Simpson – City of Coquitlam, Community Services Supervisor at 604-927-6900.
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