Fiscal Year 2012-13: How are we doing?
Exit this survey
1.
1
. Are you: (select one)
Are you: (select one)
deaf
hard of hearing
hearing
deaf/blind
deaf and other disabilities
hearing family member
parent of deaf or hard of hearing child
Other (please specify)
2
. Which NorCal office do you go to? (select one)
Which NorCal office do you go to? (select one)
Sacramento Headquarters
Stockton
Yuba City
Redding
EDD Sacramento
EDD Roseville
3
. What do you come to NorCal for? (select all that apply)
What do you come to NorCal for? (select all that apply)
Information about events
Help getting an interpreter for an appointment
Talk with someone about my issues
Help explain my papers/letters/documents
Help finding job
Friday Night Live
Community/social events
Advocacy for IEP; SSI overpayment; DV/SV
Other (please specify)
4
. When NorCal staff is helping you, does NorCal staff stay in touch with you?
When NorCal staff is helping you, does NorCal staff stay in touch with you?
Most of the time
Some of the times
Not often
5
. When you talk or sign with NorCal staff, is communication clear?
When you talk or sign with NorCal staff, is communication clear?
Most of the time
Some of the times
Not often
6
. Is the information and/or services you get from NorCal helpful?
Is the information and/or services you get from NorCal helpful?
Most of the time
Some of the times
Not often
7
. What do you like best about NorCal? (select all that apply)
What do you like best about NorCal? (select all that apply)
Location of NorCal office
People who work at NorCal
Services at NorCal
Videophones at NorCal
NorCal events
Other (please specify)
8
. How can NorCal improve? (select all that apply)
How can NorCal improve? (select all that apply)
Open in evenings and weekends
More client advocates
More interpreters
More ASL vlogs on NorCal website
More workshops
More social events
More services for Hard of Hearing
Other (please specify)
9
. If you or someone you know does not use NorCal services, indicate why:
If you or someone you know does not use NorCal services, indicate why:
Lack of transportation/too far/cost of gas
Scheduling conflict (not able to fit me in when I need services or when I was available)
Embarrassed or ashamed
Too long to wait for appointment
Not have the services I need
Not know about NorCal services
Other (please specify)
10
. What new services would you like to see? (select all that apply)
What new services would you like to see? (select all that apply)
Senior Citizens
Drug/Alcohol treatment
Parenting classes
Citizenship
DMV – Drivers Ed classes
Computer classes
Professional Counseling
Deaf-Blind services
ASL classes
Other (please specify)
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