Skip to the content

Wellness Hub

Resources & Supports
Research
Our Team
- Contact

Search for:

Resources & Supports
Research
Our Team
- Contact

Twitter
Email
YouTube

Staff, Household Member and Caregiver Individual-Level Consent Form

Find the individual-level consent form for staff, household members and caregivers interested in participating in the Wellness Hub Research and Support program.

Post author By Wellness Hub
Post date 6 October 2021

WH_IndividualConsentForm_v20_211206_SHC Download

← Resident Individual-Level Consent Form → Wellness Hub Facilitated Access Presentation

Twitter
Email
YouTube

Our Study Partners

Our Funding Sources

Affiliated with the Knowledge Translation Program

Site Survey

1. Do you currently work in a long-term care home or retirement home?

a) If you selected yes, what best describes your job title?

b) If you selected other, please describe your job title in a long-term care or retirement home:

c) ) If you selected no, please describe your job title:

2. Which section(s) of the website did you visit? CARE+Vaccine+IPAC+Saliva TestingWellness Hub for SheltersDried Blood Spot TestingWraparound ResourcesStudy InformationResearch OpportunitiesConsent FormsPublicationsOur TeamContact

3. How satisfied were you with the resources shared on the website pages you visited?

4. What did you like and/or dislike about the resources on the website (e.g., topic of information/tools shared, layout, images etc.)?

5. Are there any additional resources or tools you would like to see added to the website?

6. How would you describe your overall experience with the website?

Would you like to help us improve our website and inform Wellness Hub Program resources?

1. Do you currently work in a long-term care home or retirement home?

a) If you selected yes, what best describes your job title?

b) If you selected other, please describe your job title in a long-term care or retirement home:

c) ) If you selected no, please describe your job title:

2. Which section(s) of the website did you visit? CARE+Vaccine+IPAC+Saliva TestingWellness Hub for SheltersDried Blood Spot TestingWraparound ResourcesStudy InformationResearch OpportunitiesConsent FormsPublicationsOur TeamContact

3. How satisfied were you with the resources shared on the website pages you visited?

4. What did you like and/or dislike about the resources on the website (e.g., topic of information/tools shared, layout, images etc.)?

5. Are there any additional resources or tools you would like to see added to the website?

6. How would you describe your overall experience with the website?