Mississauga Health Seniors Navigation Portal

Getting Started

The purpose of this questionnaire is to connect you with healthy aging services in Mississauga that can support your needs, or the needs of someone you are caring for.

The questionnaire will take about 5 minutes to complete.

^*Who are you completing this questionnaire for?

For myself

For someone else

^*If you are unable to complete this online questionnaire, you can speak with a navigator who will help complete it for you.

I will complete this questionnaire

I would like a navigator to help me complete this questionnaire

Please enter the postal code of the person looking for assistance, to confirm they live in Mississauga.

^*Postal code

Calculations

[fsa]

First 3 digits of postal code:

"out of coverage area" if FSA is NOT IN the approved list

[fsa-3rd-character]

3rd character of postal code:

prevent error message until 3rd character entered

[location-eligibility]

eligible: L5A, L5B, L5C, L5E, L5G, L5H, L5J, L5K, L5L, L5M, L5N, L5P, L5R, L5S, L5T, L4V, L5V, L4W, L5W, L4X, L4Y, L4Z, H0H

Registrant's pronoun (1-possessive)

"My" or "Client's"

Filler pronoun (1-subject)

"I" or "They", used in labels

Registrant's pronoun (capital-does)

"Does the client" or "Do you"

Registrant's pronoun (lower-does)

"does the client" or "do you"

The Registrant (other-pronoun)

"the client" or "you"

The Registrant's/your (other-pronoun-possessive)

"the client's" or "your"

The Registrant has/you have (have-verb)

"has" or "have"

Registrant doesn't/you don't (do-not)

"doesn't" or "don't"