1.In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

2.Through which program did you receive assistance?

LIHEAP

CSBG

Weatherization

3.Was the online application process easy to use?

Yes

No

4.How satisfied were you with the uploading of documents process?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

5.Who was your caseworker?

6.How were you contacted by your caseworker?

Phone

Email

Both

7.Was your Family Support Specialist polite, professional, and communicative?

Yes

No

8.How satisfied were you with your overall service with this agency?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

9.Would you refer a friend or family member to this agency?

Yes

No

10.Comments and/or Testimony