Telephone/Email Customer Satisfaction

1. We appreciate your feedback how well we are performing as we strive to provide excellent service.

We appreciate your feedback on how well we are performing as we strive to provide excellent service. Our funders are also appreciative to hear postive feedback to continue to support our mission. Please do not use this service to request services as they will not reach the correct department. Please use the provided contact information on the home page.

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* 1. Client's Name

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* 2. Division/Program you would like to provide feeback on:

Weatherization Services

Family Development Program

Food Bank

Utility Assistance

Other (please specify)

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* 3. Name of Staff you are providing feedback on: (if applicable)

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* 4. Date of Service/Encounter:

Enter Full Date

Time

AM/PM

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* 5. How did you contact us?

via email

via phone

Telephone/Email Customer Satisfaction

1. We appreciate your feedback how well we are performing as we strive to provide excellent service.

Question Title

* 1. Client's Name

Question Title

* 2. Division/Program you would like to provide feeback on:

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* 3. Name of Staff you are providing feedback on: (if applicable)

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* 4. Date of Service/Encounter:

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* 5. How did you contact us?

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* 6. Briefly Describe Reason for Calling/Emailing CAPSBC:

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* 7. Please describe your phone/email experience dealing with CAPSBC/Staff