FSS Coordinator Survey - HCV

1.Was the FSS Coordinator professional and courteous?

Yes

No

If No, please briefly explain:

2.Did the Coordinator answer your questions thoroughly?

Yes

No

If No, please briefly explain:

3.What was the purpose of the meeting?

4.Was the meeting a result of a scheduled appointment?

Yes

No

If yes, did the scheduled appointment start on time?

5.How can PHA better serve you?

6.Tenant Name:

7.What was the date of your contact?