Client Survey: Please take a moment to help us improve your experience at South Central Community Action Agency, Inc

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* 1. How often do you come to South Central Community Action Agency, Inc.?

First Time

Monthly

Twice a year

Once a year

Other

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* 2. What service did you request?

Utility (Lights, gas, etc.)

Transportation

Weatherization

Mortgage/Rental

Meals (Nutrition/Home Delivered Meals)

Other

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* 3. How long did you wait for your service after requesting?

Less than 30 days

31 to 60 days

61 to 90 days

More than 90 days

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* 4. How long did you wait for an appointment for your service to be provided?

15 minutes or less

16 - 30 minutes

31 minutes - 1 hour

More than 1 hour

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* 5. How would you rate our service?

Consistent high quality

Generally good

Quality varies daily

Poor quality

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* 6. Was the office clean and inviting?

Yes

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* 7. Was the vehicle clean?

Yes

N/A

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* 8. How would you rate the staff/driver?

Friendly and helpful

Average

Varies on each visit/route

Poor service

N/A

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* 9. Additional Comments

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* 10. About you: (Optional)

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number