Advocacy

 

Let Us Know

 

We want this website to be relevant  to people who work with and help seniors in preventing and dealing with alcohol problems.  You can help us by letting us know what you think of the site and topics that you think should be on it.

 


 

 

Please print up, fill in, and fax this form to

Charmaine Spencer

Gerontology Research Centre, Simon Fraser University

2800-515 West Hastings Street

Vancouver, B.C.

V6B 5K3

Fax: (604) 291-5066

 

Or you can email your comments and suggestions to : cspencer@shaw.ca

 

Please Print. 

 

Your Name:____________________________________________________________________________________________________

 

Your Address (optional):_________________________________________________________________________________________
____________________________________________________________________________________________________________

___________________________________________________________________________________________________________

 

Your Phone, Fax, Email address (optional): ______________________________________________________________________

 

Are You? (check all that apply)

[  ] An individual interested in alcohol issues

[  ] A seniors' organization

[  ] A service provider serving seniors (please specify type of organization)

[  ] A person working in addictions field

[  ] A health care provider

[  ] A student or educator

[  ] Other  (please specify)________________________________________________________________________________________

 

What do you think of the website overall?_____________________________________________________________________________

 

Do you think you know more about the issue of seniors and alcohol than you knew prior to visiting the website?

_______________________________________________________________________________________________________________

 

Would you recommend this website to others? __________________________________________________________________________

 

Suggested Topics: ___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________

Other Recommendations for Changes to the Website:

 ___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________

 

 

Thank you.

 

Return to

  Alcohol and Seniors Home Page

 

 

Last updated: Sunday, 31 October 2004