Please help us improve our service by answering the following questions. Thank you!

* 1. Date and time of arrival:

Date / Time:
/
/
:

* 2. Did you meet with a Self Help Center volunteer attorney?

* 3. How did you find out about the Self Help Center?

* 4. Which of the following resources, if any, will you use to answer additional questions you might have in the future? (check all that apply)

* 5. Did the Self Help Center staff or attorney refer you to outside resources or agencies that could help you?

* 6. Please rate the quality of the service you recieved today:

  Poor Excellent
The information I recieved was...
The Bankruptcy Basics computer presentation was...
Compared to when I came in, my understanding of how to handle my case is...
Compared to when I came in, my ability to find helpful information in the future is...
The Court employees (not the volunteer lawyer) provided me with educational resources.
I believe my ability to retain a lawyer in my case is...
The way I was treated by Court employees (not the volunteer lawyer) was...
Overall, my experience in the Self Help Center was...

* 7. What could we do to improve the service we provide?

T