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Experiences Survey
Did you or someone you know reach out to 211 Maine and find needed supports or services?
We want to know if the information or referrals you received from 211 Maine were helpful.
Please share your experience with us!
1.
Why did you contact 211 Maine?
2.
How did you reach out to 211 Maine?
Call
Text
Email
Website
If by Call or Text, how did the Specialist make you feel?
3.
Was the information you received from 211 Maine useful?
Yes
No
Other (please specify)
4.
Would you recommend 211 Maine to others?
Yes
No
Why?
*
5.
Tell us your story—Begin with why you reached out to 211 Maine. Please be as specific as possible, including whether you were able to connect to a service or improve your situation.
(Required.)
6.
Do you give us permission to publish your story as long as no contact details are included?
Yes, and you may use first names when you publish
Yes, but please change all names in the story
No, please do not publish my story
Other (please specify)
7.
If you are comfortable, please share the information below:
First Name
Age
City / Town
State
8.
How did you hear about 211 Maine?
9.
Are you willing to share a photo to go with your story? If so, be sure to complete Item #10 and include your contact information. You will be contacted by a representative of 211 Maine.
Yes
No
10.
Please include the information below if you give permission for a 211 Maine representative to follow-up with you:
Name
Phone number
Email address
Preferred time to be contacted
Thank you!
