Please let us know how we did!

This completely anonymous survey helps us to know how we are doing as we offer programs and services throughout Whitman County. Thanks in advance for your participation!

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* 1. Date of visit to Community Action Center?

Date

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* 2. Which Deptartment did you meet with today ?

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* 3. I received services, information, or a referral that helped my situation.

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* 4. What kind of help did you RECEIVE from Community Action Center, if any?

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* 5. The staff person helped me understand the program or services & guidelines, as well as eligibility requirements.

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* 6. If Community Action Center could not provide the help needed, the staff person helped with a referral for services elsewhere.

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* 7. I was informed of other services offered at Community Action Center.

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* 8. If there are no services/referrals for the need you have, please list unmet need(s) below:



Would you like someone from our agency to reach out to you about this need? If so, please fill in the information below:

Name:
Phone #:
Email:

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* 9. On a scale of 1 to 10, with 10 being best, how would you rate your overall experience with Community Action Center?

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* 10. Anything else? Please tell us one thing that would have made your experience better, or any other feedback or comments you would like to share with Community Action Center...

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