Mycelium Cafe Participation Survey 2026Mycelium Cafe Participation Survey 2026The results of this survey will be submitted anonymously to our funder, the New Horizons for Seniors Program, which is a part of Service Canada. The information provided here will be used to determine where and how the funding has been used, and whether the programing we have provided with the Mycelium Cafe has been successful. In turn, this will be part of the decision to continue to fund our programming. You will be assigned a number as an identifier for the purposes of submitting this information to our funders. Your name will not be used. Your name is included on this form only to insure we do not submit duplicate responses. Lulu Laru from onmyplanet.ca is the only one that will see your name. Today's Date*First Name*Last Name*I attended the Mycelium Cafe on the following dates: April 19th 2026 May 17th 2026 June 21st 2026 July 19th 2026 Sept. 20th 2026 Oct. 18th 2026 Nov. 15th 2026 Dec. 20th 2026Demographics 01: Please identify your age group: I'm under 25 years of age I'm between the ages of 25 and 34 I'm between the ages of 35 and 44 I'm between the ages of 44 and 54 I'm between the ages of 55 and 64 I'm between the ages of 65 and 74 I'm between the ages of 75 and 84Demographics 02: Please check all the boxes that apply. If you are not over 55 please skip this question and answer the next one. I'm over 55 and identify as Indigenous (First Nations, Métis, and/or Inuit) I'm over 55 and a Francophone I'm over 55 and a person with a visible disability I'm over 55 and a person with an invisible disability I'm over 55 and a new immigrant I'm over 55 and identify as LGBTQIA+ I'm over 55 and identify as trans, non-binary, or in another way on the gender spectrum I'm over 55 and have a low income I'm over 55 and am socially isolated I'm over 55 and am geographically isolatedDemographics 03: Please check all the boxes that apply Cis Trans Non-Binary Gender Non Conforming Gender Queer My gender is not on this list. (Please answer on the following question blank)My gender was not on the list. I identify my gender as: How many people live in your household? 1 2 3 4 5 6 More than 6 Other - please describe in the next question blankMy living situation wasn't listed on the previous question and is: What municipality do you live in? Kosapsum Nation Songhess Nation City of Victoria Oak Bay Saanich Gulf Islands Sidney North Saanich Central Saanich Highlands View Royal Langford Metchosin Colwood Sooke Somewhere else in BC I live outside of BC Other please tell us on the next question blankWhere I live wasn't on the previous list. I live in: Assessment 01: Did participating in The Mycelium Cafe help you feel more socially included or connected to others?Assessment 02: Did participating in The Mycelium Cafe help reduce any barriers you may have faced in accessing similar opportunities?Assessment 03: Has your experience with The Mycelium Cafe made you more likely to attend similar programs in the future?SubmitIf you are human, leave this field blank.Δ
