Peter-McGill Resident Survey

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Hello!

We, your Peter-McGill community organizations, want to know more about how our residents have been impacted by the COVID-19 pandemic. The intention of these questions is to get a sense of where you are now and what services are most important to you during this time. You are not obligated to answer anything you are uncomfortable with. You also do not have to provide contact information, but there will be a space for it at the end of this questionnaire if you want to receive a follow-up call or email. Please note that regardless of your answers, all information will be kept strictly confidential.

You'll find links with more details about some of the different community organizations in Peter-McGill in a section further into this survey.

Thank you for helping us better understand what our community needs, we appreciate any input you are willing to provide!

How are you today?

We want to know how the COVID-19 pandemic is impacting you in your life. Please select all the following situations you feel you identify with, and to what degree/ frequency you have been experiencing these challenges.

A lot

Moderately

Not Very much

It varies

Does not apply

I have been unable to work or find new employment

I have trouble getting groceries

I feel completely or almost completely isolated

I have gotten a lot of help and support from friends and neighbors

I have trouble getting health care services

I can't find childcare

I have more trouble getting to places I need to go (grocery store, pharmacy, appointments, etc...)

I am worried about my rent

I have found new and interesting ways of connecting with people safely

I feel overwhelmed

I or someone in my household is a person at risk of COVID-19

I have questions about the COVID-19 vaccine

I am concerned about not getting any physical activity

I have lost interest and/or motivation for my daily activities

I need help scheduling a vaccination appointment

I feel supported by community organizations

I am finding all of the COVID information and directives very confusing

I feel nervous leaving my home

I have developed habits I feel I can't control

I don't feel safe in my isolation situation

A lot

Moderately

Not Very much

It varies

Does not apply

I have been unable to work or find new employment

I have trouble getting groceries

I feel completely or almost completely isolated

I have gotten a lot of help and support from friends and neighbors

I have trouble getting health care services

I can't find childcare

I have more trouble getting to places I need to go (grocery store, pharmacy, appointments, etc...)

I am worried about my rent

I have found new and interesting ways of connecting with people safely

I feel overwhelmed

I or someone in my household is a person at risk of COVID-19

I have questions about the COVID-19 vaccine

I am concerned about not getting any physical activity

I have lost interest and/or motivation for my daily activities

I need help scheduling a vaccination appointment

I feel supported by community organizations

I am finding all of the COVID information and directives very confusing

I feel nervous leaving my home

I have developed habits I feel I can't control

I don't feel safe in my isolation situation

Feel free to give us more information on how these situations have affected you specifically.

Which of the following organizations or groups are you aware of in your neighbourhood?

Groupe Harmonie: https://www.facebook.com/groupeharmonie/about

The Yellow Door: www.yellowdoor.org

Innovation Jeunes: http://www.innovationjeunes.com/about-us/

YMCA: https://www.ymcaquebec.org/en/Community-Programs

Peter-McGill Community Council: https://petermcgill.org/en/who-we-are/

CIUSSS: https://www.ciussscentreouest.ca/

CLSC Metro: https://www.ciussswestcentral.ca/sites-and-resources/clsc/clsc-metro/

YWCA: https://www.ydesfemmesmtl.org/en/about-us/mission-vision-values/

Families Downtown: http://famillescentreville.org/en

Other:

Are there any details you want to share on how these resources have helped you or how you wish they could assist you more?

What services do you need or need more of? Select as many of the following as apply:

Someone to talk to

Help getting around

Childcare

Accessing Groceries

Help finding a job

Information on services for seniors

Information on COVID (vaccine, measures, general info, etc...)

Caregiver support

Access to sanitary supplies (masks, hand sanitizer, etc...)

More physical activity/ to get moving

Social activities I can participate in from home

More community involvement

Access to support groups (for other parents, people living alone, etc...)

Other:

Are there any details you want to add about your needs?

Providing us with your age range will help us determine what services are needed depending on the different demographics within our district

25 and under

26-39

40-54

55-70

71 and over

Clear selection

If you have children in your household, please let us know how many and how old they are.

Are you a caregiver in any other capacity? Please specify if you can.

We might like to contact you to follow-up about the services you're interested in. If you feel comfortable with this please leave some information on how you would like us to get in touch (name, phone number, and/or email, etc...)

Optional Section on Vaccinations

The following two questions concern the vaccinations and will NOT be followed up on. In the interest of trying to create a portrait of the COVID-19 situation in Peter-McGill we are just looking for statistics in our residents' interest in getting vaccinated. You will NOT receive follow-up calls or any other contact about this segment unless you selected any above options stating your need of assistance.

Are you interested in receiving the COVID vaccine?

Yes - I've already received my vaccine

Yes - I have not yet received my vaccine

Maybe

I don't know

Clear selection

How do you feel about the vaccine?

Do you feel that there is any important topic we may have missed in this survey, and if so please include it here.

Clear form

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