PLC Survey, Spring 2013 -- ENGLISHPLC Survey, Spring 2013 -- ENGLISH

1. Where did you access Services?

Where did you access Services? Swinburne Street /Social Services Bldg

Sunnybrook/Public Health Bldg

Eastern Regional Center

Northern Regional Center

Southern Regional Center

Wake County Office Building

Homeless Shelter

Cornerstone

Western Wake

Millbrook Rd

Service received in my home

Other (please specify)

2. What services did you receive today? (choose all that apply)

What services did you receive today? (choose all that apply) Food Stamps

Medicaid

WorkFirst

Child Welfare

Public Health/Clinic

Child Daycare

WIC

Social Work

Other (please specify)

3. Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF COURTESY:

Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF COURTESY: Excellent

Good

Average

Below Average

Unacceptable

Comments

4. Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF KNOWLEDGE:

Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF KNOWLEDGE: Excellent

Good

Average

Below Average

Unacceptable

Comments

5. Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF RESPECT:

Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF RESPECT: Excellent

Good

Average

Below Average

Unacceptable

Comments

6. Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF HELPFULNESS:

Please tell us how we are doing in the following program or service areas in which you encountered today. STAFF HELPFULNESS: Excellent

Good

Average

Below Average

Unacceptable

Comments

7. Please tell us how we are doing in the following program or service areas in which you encountered today. QUALITY OF SERVICE/INFORMATION RECEIVED:

Please tell us how we are doing in the following program or service areas in which you encountered today. QUALITY OF SERVICE/INFORMATION RECEIVED: Excellent

Good

Average

Below Average

Unacceptable

Comments

8. Please tell us how we are doing in the following program or service areas in which you encountered today. BUILDING CONDITIONS:

Please tell us how we are doing in the following program or service areas in which you encountered today. BUILDING CONDITIONS: Excellent

Good

Average

Below Average

Unacceptable

Comments

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PLC Survey, Spring 2013 -- ENGLISH
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