David's House Support Services Survey

1. How many separate/distinct times have you stayed at David's House?

How many separate/distinct times have you stayed at David's House? 1 - 3

4 - 6

7 - 9

10 or more

This question does not apply to me

2. During your stay, how long did it take you to travel from your primary residence to David's House?

During your stay, how long did it take you to travel from your primary residence to David's House? 0 - 20 mins

21 - 40 mins

41 - 60 mins

61 - 90 mins

90 - 180 mins

180+ mins

This question does not apply to me

3. Average number of guests (including you) in your group

Average number of guests (including you) in your group 1

This question does not apply to me

4. Number of days stayed during most recent visit to David's House

Number of days stayed during most recent visit to David's House

5. Number of days during longest contiguous stay at David's House

Number of days during longest contiguous stay at David's House

6. Please rate the following...

	Very dissatisfied	Dissatisfied	Neither satisfied nor dissatisfied	Satisfied	Very satisfied
Cleanliness of facility	*Please rate the following... Cleanliness of facility Very dissatisfied	Cleanliness of facility Dissatisfied	Cleanliness of facility Neither satisfied nor dissatisfied	Cleanliness of facility Satisfied	Cleanliness of facility Very satisfied
Hospitality of staff and volunteers	Hospitality of staff and volunteers Very dissatisfied	Hospitality of staff and volunteers Dissatisfied	Hospitality of staff and volunteers Neither satisfied nor dissatisfied	Hospitality of staff and volunteers Satisfied	Hospitality of staff and volunteers Very satisfied
Level of support for you and your family during your stay	Level of support for you and your family during your stay Very dissatisfied	Level of support for you and your family during your stay Dissatisfied	Level of support for you and your family during your stay Neither satisfied nor dissatisfied	Level of support for you and your family during your stay Satisfied	Level of support for you and your family during your stay Very satisfied
Room request process	Room request process Very dissatisfied	Room request process Dissatisfied	Room request process Neither satisfied nor dissatisfied	Room request process Satisfied	Room request process Very satisfied
Check in process	Check in process Very dissatisfied	Check in process Dissatisfied	Check in process Neither satisfied nor dissatisfied	Check in process Satisfied	Check in process Very satisfied
Check out process	Check out process Very dissatisfied	Check out process Dissatisfied	Check out process Neither satisfied nor dissatisfied	Check out process Satisfied	Check out process Very satisfied
Orientation / Tour of the house	Orientation / Tour of the house Very dissatisfied	Orientation / Tour of the house Dissatisfied	Orientation / Tour of the house Neither satisfied nor dissatisfied	Orientation / Tour of the house Satisfied	Orientation / Tour of the house Very satisfied
Explanation of house rules	Explanation of house rules Very dissatisfied	Explanation of house rules Dissatisfied	Explanation of house rules Neither satisfied nor dissatisfied	Explanation of house rules Satisfied	Explanation of house rules Very satisfied
Communication of guest amenities/services	Communication of guest amenities/services Very dissatisfied	Communication of guest amenities/services Dissatisfied	Communication of guest amenities/services Neither satisfied nor dissatisfied	Communication of guest amenities/services Satisfied	Communication of guest amenities/services Very satisfied

Other (please specify)

7. Which support services were you aware of David's House providing or facilitating access to?
(check all that apply)

*NOTE: selection does not necessarily indicate utilization of service

Which support services were you aware of David's House providing or facilitating access to? (check all that apply) *NOTE: selection does not necessarily indicate utilization of service Shuttle service

Food pantry

Comfort items (quilts, hats, stuffed animals, etc.)

Wish list programs

Resource to available community programs

Sundry items (toothbrush, soap, laundry supplies, etc.)

Business services (postage, envelopes, fax, etc.)

Breast pumps

Advanced room request considerations

I was unaware that David's House provided any services beyond lodging

Other (please specify)

8. Which of the following additional support services do you feel would have added to the quality of your stay at David’s House? (check all that apply)

Which of the following additional support services do you feel would have added to the quality of your stay at David’s House? (check all that apply) Workout facility

Business center (quiet space, computer, printer, internet access)

Homework facility

Babysitting service

Counseling service

Support groups

Chaplaincy support

Art therapy

Parenting classes

None of the above

9. What additional services do you wish David's House provided (or facilitated access to) in addition to lodging? Be creative!!!

What additional services do you wish David's House provided (or facilitated access to) in addition to lodging? Be creative!!!

10. Do you have any other suggestions or comments to help us in providing the highest level of service to our guests?

Do you have any other suggestions or comments to help us in providing the highest level of service to our guests?

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David's House Support Services Survey
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