Electric and Fuel Assistance Participant Survey Please help us to provide services to you in the most efficient manner by completing this survey. Question Title * 1. Are you currently enrolled in the: Electric Assistance Program (EAP) Fuel Assistance Program (FAP) Yes, no, or applying now yes no applying now Yes, no, or applying now Electric Assistance Program (EAP) menu yes no applying now Yes, no, or applying now Fuel Assistance Program (FAP) menu Question Title * 2. If applying for the first time, how did you find out about EAP and FAP? Newspaper Radio Poster Referral from another person Mailing from CAP Word of mouth Flyer Other Question Title * 3. Approximately how many years have you been enrolled in the: EAP FAP First year, 2-5 years, 5+ years First year 2-5 years 5+ years First year, 2-5 years, 5+ years EAP menu First year 2-5 years 5+ years First year, 2-5 years, 5+ years FAP menu Question Title * 4. How long did it take to get an appointment? EAP FAP 1-2 weeks, 2-4 weeks, 4-8 weeks, or 8+ weeks 1-2 weeks 2-4 weeks 4-8 weeks 8+ weeks 1-2 weeks, 2-4 weeks, 4-8 weeks, or 8+ weeks EAP menu 1-2 weeks 2-4 weeks 4-8 weeks 8+ weeks 1-2 weeks, 2-4 weeks, 4-8 weeks, or 8+ weeks FAP menu Question Title * 5. How would you rate the appointment process? EAP FAP Very easy, easy, difficult, or very difficult Very easy Easy Difficult Very Difficult Very easy, easy, difficult, or very difficult EAP menu Very easy Easy Difficult Very Difficult Very easy, easy, difficult, or very difficult FAP menu Comments: Question Title * 6. How would you rate the application process? This includes the paperwork necessary to apply. EAP FAP Very easy, easy, difficult, or very difficult Very easy Easy Difficult Very difficult Very easy, easy, difficult, or very difficult EAP menu Very easy Easy Difficult Very difficult Very easy, easy, difficult, or very difficult FAP menu Comments: Question Title * 7. Were you without heat or electricity at any time during the last 12 months? Heat Electricity Yes or No Yes No Yes or No Heat menu Yes No Yes or No Electricity menu If yes, please comment on for how long and how the issue was resolved: Question Title * 8. Has your EAP account ever been discontinued because you did not re apply? Yes or No If yes, please comment on for how long and how the issue was resolved: Question Title * 9. What is your primary heating source? Oil Kero Wood Propane Natural Gas Question Title * 10. After the benefit, approximately how much did you spend on heat or electricity this past year: EAP FAP 0 - $2,000+ 0 - $500 $500 - 750 $750 - 1,000 $1,000 - 1,500 $1,500 - 2,000 $2,000+ 0 - $2,000+ EAP menu 0 - $500 $500 - 750 $750 - 1,000 $1,000 - 1,500 $1,500 - 2,000 $2,000+ 0 - $2,000+ FAP menu Done