ACP Day 2020 Survey

2020 ACP Day Survey

April 16th was National Advance Care Planning Day. Each year, the 'Speak Up' Advance Care Planning in Canada initiative launches a campaign toolkit and communication plan. After ACP Day, we circulate this survey to monitor events and activities going on across the country, and to identify ways we might improve our ACP Day campaign efforts in the future.

If you aren't familiar with our campaign, please go to our website for more information: (http://www.advancecareplanning.ca/resource/acp-day-campaign-kit-2020/).
Please provide your Organization/Facility and contact information
Name
First Last
Organization
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Organization Type
Please describe your organization
- Regional Health Authority
- Hospital
- Medical Clinic
- Long Term Care Facility
- Community Based Service Organization
- Hospice / Hospice Coalition
- Legal Firm / Organization
- Funeral Home
- Professional Association
- Other
Other Organization Type: Please Specify
Role
What Is Your Role/Profession/Discipline?
- Physicial
- Nurse
- Other Health Professional
- Spiritual Care Worker
- Administrator / Manager
- Policy Maker
- Researcher
- Educator
- Volunteer
- Other
Other Role (Please Specify):
ACP Day Activities
Did your organization do any activities to promote advance care planning on the days leading up to or shortly after National Advance Care Planning Day? If the answer is Yes, please describe your activities. If you held activities not covered in the list, please describe them below. below.
- Public Workshop
- Set Up Booth at Community Event
- Media Interview / Coverage
- Social Media
- E-News or Newsletter
- Staff or Volunteer Training
- Advocacy / Government Meetings
- Other
Description
Resources
Which Speak Up resources did you use (if any) during your activities?
- Workbook / Quick Guides
- Framework
- Public Legal Toolkit
- Lawyer Legal Toolkit
- Posters / Pamphlets
- Wallet Cards
- Bookmarks
- Videos
- Presentation Slides
- Template Emails, Blogs, or News Releases
- Conversation Starters
- Social Media Messages
- None of the Above
- Other
Other Resources (Please Specify):
Overall
How satisfied were you with the campaign resources provided by 'Speak Up' for ACP Day?
- Poor
- Fair
- Good
- Very Good
- Excellent
Future Improvement
How can the Speak Up ACP Day campaign better support you in your ACP activities?
Gaps
Was there anything missing from this year's campaign?
Past History
How many years have you participated in National Advance Care Planning Day?
- I have not participated
- 1-2 Years
- 3-5 Years
- >5 Years
Involvement
Are you involved in any of the following? (Check all that apply)
- A provincial/territorial Palliative Care or Advance Care Planning Community of Practice?
- The national ACP Educators Community of Practice?
- The national ACP Champions contact list?
- On the 'Speak Up' monthly mailing list?
- Other
Other Involvement (please specify):
Future Involvement
Would you like to be involved in any of the following? (Check all that apply). We will follow up with you with more information about these groups if you are interested.
- A provincial/territorial Palliative Care or Advance Care Planning Community of Practice?
- The national ACP Educators Community of Practice?
- The national ACP Champions contact list?
- On the 'Speak Up' monthly mailing list?
Comments
Do you have any other comments about ACP Day?
Thank you for your time and ongoing promotion of advance care planning!

Quick Links

ACP Workbooks

Your Province or Territory

Speak Up Campaign Kit

Research

Order Hard-copy Resources

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