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SNAP Satisfaction Survey
1.
Date of visit to Community Action Center?
Example: 12/23/2022
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2.
I received services or information that helped my situation about
Basic Food
.
Strongly disagree
1 star
Disagree
2 stars
Neither agree nor disagree
3 stars
Agree
4 stars
Strongly agree
5 stars
N/A
6 stars
3.
The staff person helped me understand the program/services and guidelines of
Basic Food
.
Strongly disagree
1 star
Disagree
2 stars
Neither agree nor disagree
3 stars
Agree
4 stars
Strongly agree
5 stars
N/A
6 stars
4.
If CAC could not provide me with help for
Basic Food
, the staff person helped with a referral for services elsewhere.
Strongly disagree
1 star
Disagree
2 stars
Neither agree nor disagree
3 stars
Agree
4 stars
Strongly agree
5 stars
N/A
6 stars
5.
On a scale of 1 to 7, how would you rate my overall experience with Community Action Center?
Unacceptably bad
1 star
Very bad
2 stars
Bad
3 stars
Neither bad nor good
4 stars
Good
5 stars
Very Good
6 stars
Exceptionally good
7 stars
6.
Do you have any other feedback or comments you would like to share about your experience with Community Action Center?
