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National Research Council Canada
Canada's largest federal research and development organization
Thank you for your interest in becoming an expert by experience for the Aging in Place Challenge program. We are excited to partner with older adults and caregivers in this important work!
There will be a number of opportunities to get involved in the coming years to provide your thoughts and opinions. This survey will help us learn more about you, and how you would like to be involved in the program.
Your responses will be stored securely, and viewed only by members of the Aging in Place team. Participation is absolutely voluntary. Please feel free to contact the Aging in Place team with any questions, or if you require accessibility adaptations or assistance to complete the survey. We can be reached at
NRC.AgingInPlace-VieillirChezSoi.CNRC@nrc-cnrc.gc.ca
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Section 1: Contact Preferences
Section 1: Contact Preferences
Name:
My preferred method of contact is:
Phone
Email
Mail
My email address is:
My phone number is:
My mailing address is:
My mailing address is:
Street:
City:
Province:
Postal code: