Social Isolation and Loneliness Guidelines Feedback Survey
You will only be able to submit this form in a new tab.
Open in new tab
The Canadian Coalition for Seniors’ Mental Health developed the
Canadian Clinical Guidelines on Social Isolation and Loneliness in Older Adults
(referred to here as
the Guidelines
) to support and empower health care and social service professionals working with older adults who may be at risk of, or experiencing, the health effects of social isolation and loneliness.
We are seeking feedback to understand how the Guidelines are being used in practice and how we can better support health care and social service professionals in implementing the Guidelines. Your responses will directly inform future improvements and knowledge mobilization efforts.
All responses are anonymous unless you choose to share your name and email at the end of the survey.
Administrator or manager
Community organization worker
Educator
Geriatric psychiatrist
Licensed practical nurse
Medical office assistant / receptionist
Nurse practitioner
Occupational therapist / Physiotherapist / Recreation therapist (OT, PT, RT)
Physician
Psychologist
Registered nurse
Researcher
Social services worker
Social worker
Other
Other, please describe:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Select all that apply.
Primary care
Community health
Hospital
Continuing or long-term care
Social services
Other
Other, please describe:
Select all that apply.
Attended a webinar about the guidelines
Attended a conference session or workshop
Read a social media post
Read a newspaper article
Read an academic journal article
Downloaded the guidelines
Received a print copy of the guidelines
Read the guidelines
Read or used the pocket card
Read the social isolation and loneliness brochure
Learned about them through a course
Other
Other, please describe:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
Engaging with the Guidelines improved my knowledge about social isolation and loneliness.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
The Guidelines gave me practical ideas or strategies I can use in my work.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
I feel more confident addressing social isolation and loneliness in my role.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
Yes
No
Not yet, but I plan to
Please describe the changes you've made to your work as a result of the Guidelines:
Yes
No
Please provide your name and email address:
Powered by
SimpleSurvey