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555-555-5555

mymail@mailservice.com

HOME
SERVICES
PCFS GOVERNANCE
WHO WE ARE
ACCESSING SERVICES
NEWS
PCFS RESOURCES
EMPLOYMENT
CONTACT

Membership Survey

Survey participants will be entered into a monthly prize draw.

Dear Community Member, we are interested in hearing from you!

Please take a few minutes to fill out this survey to help us improve our services. We appreciate your

feedback on how the agency might do things better. Our questions are guided by the 7 Sacred Teachings.

Contact Us

Free Text

CONTACT INFO

First Name

Last Name

Phone

Email

Have you participated in any gatherings, services, or programming provided by Peguis Child and Family Services?

Yes

No

If Yes, please select any of the following items you have participated in?

Spring Break Extravaganza

Youth Gathering

Elder’s Gathering

Women’s Gathering

Men’s Gathering

AGM

Christmas Dinner

Debinan Youth Program

Reclaiming Our Ways

Intake

Other

Free Text

..................

RESPECT

RESPECT

1. Peguis CFS staff members respected my voice and beliefs.

Yes

No

Kind of

2. Peguis CFS staff members helped me speak up and move forward in a good way.

Yes

No

Kind of

Field label

TRUTH

3. Peguis CFS staff members were clear about why they were involved with me and my family.

Yes

No

Kind of

LOVE

LOVE

4. Peguis CFS staff members cared about me and wanted the best for me and my family.

Yes

No

Kind of

WISDOM

WISDOM

5. Does your assigned worker try to help to improve your situation by offering help and support?

Yes

No

Kind of

6. Do you find the staff at Peguis Child & Family Services professional and friendly?

Yes

No

Kind of

7. Do your phone calls get answered promptly by the staff at Peguis Child & Family Services?

Yes

No

Kind of

Free Text

HONESTY

8. Has your worker met with you and your family on a regular basis?

Yes

No

Kind of

Free Text

HUMILITY

9. What could Peguis Child & Family Services do to serve you and your family better?

Free Text

COURAGE

10. Any other feedback that you would be willing to share? Your honesty helps to guide us with our programs and services. It will not be shared with staff members directly.

Opt-In

I agree that my submitted data is being collected and stored.

Thank you for contacting us.
We will get back to you as soon as possible.

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MIIGWETCH, GITCHI MIIGWETCH, EKOSANI & THANK YOU

Call Toll Free 1-877-777-2049

Anti-Bullying, Suicide Awareness and Magic Show

February 21, 2025

Schedule is subject to change.

Youth Fishing Derby

February 19, 2025

Schedule is subject to change.

Honouring Our Babies

February 19, 2025

Schedule is subject to change.

Winnipeg Office

Winnipeg Office
Unit 1-1349 Border Street
Winnipeg, MB R3H 0N1
Phone: (204) 632-5404
Toll Free 1-877-632-5404
Fax: (204) 632-7226

© 2025

All Rights Reserved | Peguis Child & Family Services

PEGUIS OFFICE

Peguis On Reserve Office

P.O Box 610

Peguis, MB R0C 3J0

Phone: (204) 645-2049

Toll Free 1-877-777-2049

Fax: (204) 645-2558

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