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

2.Was the appointment scheduling system easy to use?

Yes

No

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.Did your Family Support Specialist contact you at your designated appointment date and time?

Yes

No

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

Yes

No

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

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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

Yes

No