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Please take a moment to fill out this satisfaction survey.

The Autism Program of Illinois (TAP) is funded by the Illinois Department of Human Services (IDHS). By completing this survey, you are helping us to better serve Illinois residents and are helping to ensure that TAP receives Illinois state funding in the future.

You may choose to remain anonymous OR provide your contact information. 

Please complete ALL questions marked with an asterisk* or the survey will be rendered invalid.

For more information contact the TAP Central Office at 217.953.0894 x30477

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* 1. Today's Date

Date

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* 2. OPTIONAL: What is your first and last name?

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* 3. OPTIONAL: Email address

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* 4. What is the zip code where you reside?

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* 5. What TAP organization provided your service today?

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* 6. Is this your first time using a TAP service?

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* 7. What service(s) did you receive today?

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* 8. What is the age of the child seeking services or the child/children you will be serving?

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* 9. How satisfied were you with the service/s received?

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* 10. Will you recommend the organization that you received services from to others?

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* 11. OPTIONAL: Additional Comments

0 of 11 answered
 

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