Office of the Seniors’ Advocate - House of Assembly Forms

Public Engagement Form

The Office of the Seniors’ Advocate was established in November of 2017. The Office identifies, reviews and makes recommendations regarding systemic issues (challenges that affect a large number of seniors) related to health care, personal care, housing, transportation or finances.

The Advocate would like input from seniors, their families and others, about issues that affect seniors. This will lead to recommendations to improve services. This online public engagement form will help the Advocate learn about the issues and concerns around seniors’ services in Newfoundland and Labrador. Please take a few minutes to share your ideas.

What issues do you believe affect seniors and should be brought to the attention of the Seniors’ Advocate?
Please share any ideas, solutions or comments regarding the above noted issues?
Which role best describes you in this issue?
- Senior
- Family member
- Neighbor or friend
- Health care professional
- Other
What is your geographic location? (town, city and/or postal code)
Optional. Would you like to be contacted regarding your concern?
- Yes
- No
* Asterisks indicate required fields
Name*
First Last
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Email Address*
Telephone Number*
Privacy Statement: The personal information provided by you is protected under the Access to Information and Protection of Privacy Act, 2015 and the Seniors’ Advocate Act. The optional contact information will be used only to contact you if you have indicated your interest in receiving communication from our office. You should note that Personal Information which you provide to the Seniors’ Advocate may be disclosed to the Citizens’ Representative if a referral to the Citizens’ Representative is made under the Seniors’ Advocate Act.
Phone
This field is for validation purposes and should be left unchanged.