Customer Satisfaction Survey 2021-2022

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* 1. How were you referred to our agency?

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* 2. What service(s) did you receive: (Check as many as apply)

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* 3. Did TCCAA refer you to a community partner?

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* 4. How long have you known about Tri-County services?

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* 5. How were you treated by staff?

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* 6. Was the service(s) satisfactory?

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* 7. Did the service meet your need(s)?

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* 8. Did the service improve your education level on a topic/situation?

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* 9. Did the service improve your home environment?

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* 10. Did the service improve your nutritional needs?

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* 11. Did Tri-County help you become/remain self-sufficient?

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* 12. What do you think Tri-County could do to improve.

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* 13. Name and Date (0ption

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