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* 1. You recently contacted the City of Nashua Welfare Department for assistance. What assistance were you looking for (please choose all that apply)?

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* 2. How did you hear about the City of Nashua Welfare Department (please choose all that apply)?

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* 3. Did you complete an application?

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* 4. Did you complete an eligibility interview with a Welfare Department staff person?

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* 5. Were you able to get the assistance you were seeking?

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* 6. Please rate the application process, with 1 being very difficult and 5 being very easy:

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* 7. Were the staff in the Welfare Department helpful?

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* 8. Did staff provide you with other resources outside of the Welfare Department?

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* 9. Please rate your overall interaction with the Welfare Department, with 1 being very negative and 5 being very positive:

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* 10. Additional comments:

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* 11. If you would like a follow up response to your survey, please provide your contact information.

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