MVAC Energy Assistance Survey 2023 Question Title * 1. How do you rate the services you received from the Energy Assistance Program? Poor Fair Good Excellent Poor Fair Good Excellent Question Title * 2. Was the staff friendly, informed and helpful in responding to your needs? Not Helpful Somewhat Helpful Very Helpful N/A Not applicable Not Helpful Somewhat Helpful Very Helpful N/A Not applicable Question Title * 3. Were the Minnesota Valley Action Council offices easily accessible to you? Not Accessible Somewhat Accessible Very Accessible N/A Not applicable Not Accessible Somewhat Accessible Very Accessible N/A Not applicable Question Title * 4. Were you offered materials regarding other local resources and energy conservation through the Energy Assistance program or staff? Yes No Question Title * 5. My Energy Assistance application was processed in a timely manner. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Question Title * 6. Did you understand the Energy Assistance application and what you needed to submit with it? Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Question Title * 7. How did you hear about Energy Assistance? Print Advertisement Digital Advertisement Friends or Family Caseworker or Other agency Utility Company Social Media (Facebook, Twitter, etc.) Other (please specify) Question Title * 8. Do you have any comments or suggestions regarding the Energy Assistance Program? If you would like us to contact you regarding this survey please provide your name and phone number. We want to hear your story! Question Title * 9. Has the Energy Assistance Program helped your household with high winter heating bills, heating emergencies or furnace repairs? If you would like to share your story about how the Energy Assistance Program has helped your family please tell us your story below. Question Title * 10. Please sign, date and include your phone number if you are sharing your story. Signature: Date: Phone Number: Done
