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Client Survey: Please take a moment to help us improve your experience at South Central Community Action Agency, Inc
1.
How often do you come to South Central Community Action Agency, Inc.?
First Time
Monthly
Twice a year
Once a year
Other
2.
What service did you request?
Utility (Lights, gas, etc.)
Transportation
Weatherization
Mortgage/Rental
Meals (Nutrition/Home Delivered Meals)
Other
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
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
5.
How would you rate our service?
Consistent high quality
Generally good
Quality varies daily
Poor quality
6.
Was the office clean and inviting?
Yes
No
7.
Was the vehicle clean?
Yes
No
N/A
8.
How would you rate the staff/driver?
Friendly and helpful
Average
Varies on each visit/route
Poor service
N/A
9.
Additional Comments
10.
About you: (Optional)
Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
