Customer Satisfaction Survey

Date

Food Shelf

Emergency Services

Child Care

After School

Head Start

Early Head Start

Community Action Angels

Elizabethtown Community Hospital - meal service

Employment & Training/OneWorkSource

Senior Meals

Weatherization and Energy Services

Other (please specify)

	Agree	Disagree
I was listened to and treated with respect.	I was listened to and treated with respect. Agree	I was listened to and treated with respect. Disagree
I received the help I needed.	I received the help I needed. Agree	I received the help I needed. Disagree
I was provided with information and/or referrals to other services.	I was provided with information and/or referrals to other services. Agree	I was provided with information and/or referrals to other services. Disagree
I found the waiting room to be comfortable and the receptionist to be helpful.	I found the waiting room to be comfortable and the receptionist to be helpful. Agree	I found the waiting room to be comfortable and the receptionist to be helpful. Disagree
I found it easy to find the building.	I found it easy to find the building. Agree	I found it easy to find the building. Disagree