ACHIEVE Customer Satisfaction Survey

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* 1. I am a(n)...

Parent/Guardian/Family member of a person receiving services from ACHIEVE

Employee at ACHIEVE

Employee from another organization that serves a person receiving services from ACHIEVE

Business Partner with ACHIEVE

Vendor with ACHIEVE

Another organization in the community

A member of the community

Other (please specify)

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* 2. How likely is it that you would recommend ACHIEVE to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 3. Please describe what ACHIEVE could do to raise your rating above regarding ACHIEVE by one point?

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* 4. How would you rate the quality of the services provided at ACHIEVE?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

Not applicable

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* 5. Overall, how satisfied or dissatisfied are you with services provided by ACHIEVE?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

Not applicable

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* 6. How responsive has ACHIEVE been to your questions or concerns?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 7. How likely are you to recommend our business to others?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

Not applicable

ACHIEVE Customer Satisfaction Survey

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* 1. I am a(n)...

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* 2. How likely is it that you would recommend ACHIEVE to a friend or colleague?

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* 3. Please describe what ACHIEVE could do to raise your rating above regarding ACHIEVE by one point?

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* 4. How would you rate the quality of the services provided at ACHIEVE?

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* 5. Overall, how satisfied or dissatisfied are you with services provided by ACHIEVE?

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* 6. How responsive has ACHIEVE been to your questions or concerns?

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* 7. How likely are you to recommend our business to others?

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* 8. What has been your best experience with ACHIEVE?

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* 9. What has been your worst experience with ACHIEVE?

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* 10. Please provide any other comments or recommendations you wish to make