1. Satisfaction Survey

Your honest feedback helps us provide the best service possible. Please let us know whether we met your needs by completing this questionnaire and commenting on any aspect of your experience, positive or negative. Thank you for completing this survey.

Question Title

1. Initial Contact

  Strongly Agree Agree Neutral Disagree Strongly Disagree Doesn't Apply
I was satisfied with the way that my initial call was handled
Services offered were explained clearly
My questions were answered effectively
The orientation/intake meeting was helpful

Question Title

2. Children's Groups (If you had more then one child participating, you can check more then one response if appropriate.)

  Strongly Agree Agree Neutral Disagree Strongly Disagree Doesn't Apply
I felt that I could talk with my child(ren)'s facilitator(s) or an Ele's Place staff person if I had questions or concerns
My child(ren) seemed comfortable in his/her group(s)
My child(ren)benefited from attending Ele's Place

Question Title

3. Adult Groups

  Strongly Agree Agree Neutral Disagree Strongly Agree Doesn't Apply
The group leader helped the group stay on topic
The group leader was knowledgeable
Everyone in the group had opportunities to participate
This support group experience was helpful to me

Question Title

4. Closing

  Strongly Agree Agree Neutral Disagree Strongly Disagree Doesn't Apply
We closed because we felt we were ready to leave
We closed because we had other commitments
We closed because the group was not helpful

Question Title

5. Approximate length of time you attended:

Question Title

6. Please share any additional ideas or recommendations that could help us improve our services:

Question Title

7. May we use your comments in our newsletter, a brochure or in a grant funding request?

Question Title

8. Would you be willing to share your experience at Ele's Place in a newsletter story, or at an Ele's Place event?

Question Title

9. Optional:

T