Membership Survey

Red Pheasant Cree Nation Prevention Services

Membership Survey

Tansi,

As a Nation, our greatest responsibility is the safety, well-being and future of our children.

Red Pheasant Cree Nation is taking important steps to assert our inherent rights over child and family services. To fully support and protect our youth, wherever they may reside, we are gathering essential information through this Prevention Services Membership Survey.

This work is about keeping our families together, bringing our children closer to their culture, and making sure no Red Pheasant child goes unsupported. To do that properly, we need your help.

The survey takes about five minutes. It asks about your registration status, the children in your care, and any children you may know of who live off reserve and are connected to Red Pheasant.

Your responses are confidential. They are used only to build stronger, culturally grounded prevention and protection services for our youth.

Kinanâskomitin. Thank you for helping us look after our most precious blessings, our children.

Lhea Chase

First Nation Representative
Red Pheasant Cree Nation Prevention Services

lchase@redpheasantcfs.ca  ·  306-480-7515

Two ways to take part — whichever suits you

On this page

Fill in the survey online

About five minutes. Your answers go straight to Prevention Services and are not shared with outside agencies.

Start the survey

On paper

Print it and fill it in by hand

Two pages. Return it to Lhea Chase by email, by fax, or drop it off — the return details are on the last page.

Download the printable survey

Need a paper copy mailed to you, or help filling it in? Call Lhea Chase at 306-480-7515.

Prevention Services Membership Survey

1. Your information

Please type it as day/month/year, for example 01/08/1990. Used to match your response to membership records.
Optional. So we can confirm we received your survey.
Optional.

2. Your registration

3. Children in your care

Optional. This helps us confirm registration. Share only what you are comfortable sharing.

4. Children living off reserve

This section is about children you may know of who live away from Red Pheasant and have a connection to our Nation. Share only what you are comfortable sharing. This information is used to help connect children with their membership rights and their Nation. It is not used to involve any outside agency.

A parent, guardian or family contact.

5. Consent and contact

How your information is handled. Your responses are stored on Red Pheasant Cree Nation’s own website and are read only by Prevention Services staff. They are not shared with outside agencies, or used for any purpose other than membership, registration, and prevention and protection services. You can ask to see, correct or withdraw your response at any time by contacting Lhea Chase.

Prefer to fill it in on paper?

You can print the survey, fill it in by hand, and return it to Lhea Chase.

Download the printable survey

PDF, 2 pages. Opens in a new tab so you can print it or save it.

Completed paper forms can be returned to Lhea Chase by email at lchase@redpheasantcfs.ca, by fax to 306-937-2223, or by hand.