SOCIAL NEEDS ASSESSMENT RESIDENT HOUSEHOLD SURVEY
The Town of Smoky Lake is conducting an Assessment to better understand the social needs of residents in the Smoky Lake area including the County and Villages. Please have an adult in the household answer the questionnaire by considering the needs of all members of your household; it should take about 10 – 15 minutes to complete. Your completed questionnaire should be submitted by December 20, 2019.
Please submit your completed questionnaire by dropping it off at the Town of Smoky Lake Office – 56 Wheatland Ave. Smoky Lake, AB. If you wish to keep your responses confidential, envelopes are available. If you have any questions about this survey, please contact:
Marianne Prockiw-Zarusky (FCSS Program Manager) at 780-656-3674 or email: firstname.lastname@example.org
(Although the survey is being conducted by the Town of Smoky Lake the intent is to collect the responses of
everyone in the Smoky Lake County and we encourage everyone to participate.)