*1.Which LEO programs or services have you used in the past year? Check all that apply.(Required.)

HEAP (Fuel Assistance)

Basic needs (Food, Rent, Utilities)

Housing & Homelessness Supports

Head Start/Early Head Start

Tax Assistance/Financial Empowerment

Other (please specify)

*2.Please indicate your level of agreement with each statement.(Required.)

Agree strongly

Agree

Neutral

Disagree

Disagree strongly

LEO staff members understand my culture, needs, and treat me with respect.

Agree strongly

Agree

Neutral

Disagree

Disagree strongly

My household's circumstances are better because of LEO services.

Agree strongly

Agree

Neutral

Disagree

Disagree strongly

I would recommend LEO programs and services to friends/family.

Agree strongly

Agree

Neutral

Disagree

Disagree strongly

*3.Please rate your experience working with LEO staff:(Required.)

😍 Very satisfied

🙂 Satisfied

😐 Neutral

☹️ Unsatisfied

😢 Very Unsatisfied

🚫 Did not contact LEO this way.

In person:

😍 Very satisfied

🙂 Satisfied

😐 Neutral

☹️ Unsatisfied

😢 Very Unsatisfied

🚫 Did not contact LEO this way.

On the phone:

😍 Very satisfied

🙂 Satisfied

😐 Neutral

☹️ Unsatisfied

😢 Very Unsatisfied

🚫 Did not contact LEO this way.

4.Overall, how has your experience with LEO been?