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Feedback and Testimonial
House of Sakinah Feedback Form
We’d Love Your Feedback Thank you for participating in a House of Sakinah program or service. Your feedback helps us improve our services and better support our community. All responses are confidential and will only be used for service improvement and reporting purposes.
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Name
*
Date attended
Which House of Sakinah service or event are you providing feedback about?
Sakinah for Seniors
Grocery Run
School Breakfast Program
Counselling Services
Crisis Accomodation
Volunteers
Walk in Service
Student Internship
Workshop and Training
Annual Seniors Picnic
Events
Sustainability Expo
Your Feedback / Testimonial
Impact – The event/service helped me… (Select all that apply)
Learn something new
Feel more confident
Access support or services
Meet new people
Improve my wellbeing
Feel more connected to my community
Receive practical assistance
Other
Are there any topics or programs you would like us to offer in the future?
Stay Connected – Would you like to receive sms / email / whatsApp notification regarding our services / events / programs
Yes
No
Preferred contact method:
Email
SMS
Phone
Contact Details: Email/Phone Number
Testimonial Permission – May we use your comments in our reports, website, social media, or promotional materials?
Yes
No
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Thank you for taking the time to share your feedback. Your voice helps House of Sakinah continue to provide services that empower women, strengthen families, and build safer, more connected communities. Together, we are creating a community built on Strength, Safety and Dignity.
Notes
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