You Be The Judge Participant Survey

You Be The Judge

Participant Feedback Survey
Thank you for participating in the "You Be the Judge" program! Please fill out this quick survey about your experience. Filling out this survey gives you the chance to enter into a draw to win 1 of 3 $100 gift cards!

Ward (select one):*

Ward 1 (Councillors: Laurie Emery, Tom Lundy)Ward 2 (Councillors: Peter Frost, Earl Manners)Ward 3 (Councillor: Scott Sheard)Ward 4 (Councillors: David Ashley, Alice Barton, Rick Zanussi)Ward 5 (Councillor: Darlene Cade Fraser)Ward 6 (Councillor: Dan MacLeod)
Ratepayer association (if applicable):

3. Did the sampling of your septic tank provide the necessary information to make a decision about whether your tank needs a pump out?*

YesNoUnsure
Please explain:
4. Based on your self-assessment, what is your next step?*

Schedule a pump outReassess next yearOther

5. Will you use the sludge sampler in the future to sample your septic tank again?*

YesNoUnsure
Please explain:
6. Please provide any suggestions you have for improving the You Be the Judge program:

Thank you for completing the feedback survey! If you would like to be entered into the draw to win 1 of 3 $100 gift cards, please provide your name and email address:
Name

First NameLast Name
Email
example@example.com
If you have additional feedback you would like to provide at any time, please email septics@thearchipelago.ca. We welcome your input to improve this new program.

Visit www.thearchipelago.on.ca/p/septics for more information.
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You Be The Judge