​Wellington-Dufferin-Guelph Childhood Experiences Survey

*Update: March 11, 2019

This survey is now closed. Thank you to those of you who participated.

Survey purpose:

The purpose of this survey is to understand more about how early life experiences affect health. Your responses will support Wellington-Dufferin-Guelph Public Health (WDGPH) to develop programs and services to improve the health of individuals and the overall community.


*Update: December 12, 2018

Thanks to tremendous support from our community we have reached our quota for female participants. At this time, we are only looking for participants who are male or who do not identify as female.

To be eligible to complete this survey, you must be:

  • 18 years of age or older
  • living in Wellington County, Dufferin County or the City of Guelph

The survey will take approximately 15-20 minutes to complete.

At this time we are only able to offer the survey in English. This survey is conducted online so you must also have access to an electronic device. However, we can provide you with help to participate in this survey. Please advise Anna Vanderlaan (Anna.Vanderlaan@wdgpublichealth.ca or 1-800-265-7293 ext. 4210) if you will need help to participate and she will work with you to meet your needs.


Upon completion of the survey, you will receive a $10 grocery store gift card in the mail as a token of thanks for your time. You should receive this incentive within 6 weeks of completing the survey. Gift cards will be available while supplies last. We will make every effort to ensure the survey is closed once we have distributed our supply of gift cards. Please note that WDGPH staff are eligible to participate in the survey if they meet the eligibility criteria above, however they are not eligible to receive a gift card. WDGPH cannot assume responsibility for any gift cards which are lost, stolen, or delivered to the wrong party. Please ensure that you provide complete and correct address information when you submit your mailing information.

Voluntary participation:

Your participation is completely voluntary. You can skip any questions you do not want to answer. There are no consequences if you choose to stop at any time. Information that you share is not connected to other services you receive at WDGPH or elsewhere.

Benefits of participation:

This information will help WDGPH better understand the effects of early life experiences on future health. Your responses to this survey will help inform service planning and will help others in the future.

Risks of participation:

A number of the questions in this survey ask about difficult things that may have happened to you over the course of your life. Please be assured that all of your responses will remain confidential. If you would like to talk to someone about any of the issues raised in this survey, please don’t hesitate to reach out to one of the following resources in your community or contact your family doctor:

Guelph and Wellington County Residents  

Here 24/7 Waterloo Wellington


Dufferin County Residents

 24.7 Crisis Support Peel Dufferin


This contact information will be repeated at the bottom of each survey page.


Your answers will be kept anonymous and combined with other people’s answers for analysis. As the data is being collected anonymously, once you submit your survey we will be unable to remove your responses. Information will be kept in a password protected computer folder at WDGPH. This folder will only be accessed by the project team. All of the data collected for this project will be securely retained for six years and then deleted.

Study contact information:

The final report will be posted for community members and partners on the WDGPH website - www.wdgpublichealth.ca. Participant names or other identifying information will not be included in the report.

If you want a copy of the study findings or if you have any questions, you can contact Anna Vanderlaan (Anna.Vanderlaan@wdgpublichealth.ca or 1-800-265-7293 ext. 4210)


This project has been approved by the WDGPH Research Ethics Committee. Contact Jennifer MacLeod (Jennifer.MacLeod@wdgpublichealth.ca or 1-800-265-7293 ext. 4370) if you have any questions or concerns.