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Service Referral Initiative feedback questionnaire

Please answer the following questions about your experience with the Service Referral Initiative. We want to hear from you to improve our services. Your participation is completely voluntary and you can choose to stop at any time.

This survey is anonymous. We do not collect any personally identifiable information (such as names, email addresses, or phone numbers) and your responses will not impact your access to government services. Your responses cannot be linked back to you.

Privacy statement

The information you provide (your feedback) is collected under the authority of the Department of Employment and Social Development Act solely for the purpose of assessing and improving the service delivery of the Service Referral Initiative and this information will never result in an administrative decision being made about you.

Employment and Social Development Canada does not intend to collect any personal information from you through this questionnaire. In the text of your response, please do not include any personal information about yourself or anyone else. This includes a name, address, telephone number, email address, Social Insurance Number, or any other personal information that could identify you or another person. If personal information is accidentally provided, it will be deleted as soon as possible.

If you need more information related to these questions, you can contact Employment and Social Development Canada at edsc.dgsc.cerc-cfcoe.csb.esdc@servicecanada.gc.ca.

1. Overall, how dissatisfied or satisfied are you with your experience as a referral partner with Service Canada’s Service Referral Initiative?(required) Choose an item.

Thinking about your experience with the Service Referral Initiative, how much do you disagree or agree with the following statements:

2. “It was easy to complete the Referral Request Form”. Choose an item:
3. “As a referral partner, you and your client knew what to do next following the submission of the referral request”. Choose an item:
4. “The Service Canada representative was helpful when assisting with a call back request (if applicable)”. Choose an item:
5. “The Service Canada representative was respectful when assisting with a call back request (if applicable)”. Choose an item:
6. “As a referral partner, I am satisfied with the availability of my Service Canada Community Outreach and Liaison Service contact when support is required beyond referral requests”. Choose an item:
7. “As a referral partner, I am satisfied with the level of support received from my Service Canada Community Outreach and Liaison Service contact”. Choose an item:

In your responses, you agree to not include any personal information about yourself or anyone else; this includes name, date of birth, SIN, mail or email addresses, or any other information by which you can, or your clients could be identified by your comments or views. Questions related to your individual case will not receive a reply. Thank you.

9. Which program(s) does this feedback apply to? Please select all that apply:
10. Which client groups does this feedback apply to? Please select all that apply:

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2025-10-01