Customer Satisfaction Survey

Thank you for taking the time to take our Home Energy Assistance Program (HEAP) Customer Survey. Your responses will provide us with information on how to better serve our community and provide us with input on how we can better serve you when applying for the HEAP Program.

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* 1. Have you applied for HEAP within the last 12 months?

Yes

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* 2. If yes, what did you apply for:

Electricity

Natural Gas

Propane

Wood

Pellets

Kerosene

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* 3. Has the HEAP Program helped you save money on your home energy costs?

Yes

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* 4. In the past 12 months, have you received a past due or shut off notice for your home energy costs?

Yes

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* 5. How important is receiving a HEAP credit to your household?

Very important

Important

Not Very Important

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* 6. Have you accessed the EDC HEAP Program Website for program status, forms, etc.?

Yes

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* 7. The EDC HEAP Program is hoping to host an Energy Assistance Fair later in the year and when it is safe to do so. Would you be interested in attending the fair to learn about energy conservation resources, meet local energy vendors, and learn additional ways on how to save money on home energy costs?

Yes

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* 8. How satisfied are you with the HEAP Application Process.

Very Satisfied

Satisfied

Needs Improvement

Other (please specify)

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* 9. How did you hear about the HEAP Program?

Facebook

Website

Newspaper

Advertisement/Mailer

Other (please specify)

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* 10. What City or Town Do You Live In?

Cameron Park

Camino

Coloma

Cool

Diamond Springs

Echo Lake

El Dorado

El Dorado Hills

Fair Play

Fallen Leaf

Garden Valley

Georgetown

Greenwood

Grizzly Flats

Kelsey

Kyburz

Labtrobe

Lotus

Mount Aukum

Pacific House

Pilot Hill

Placerville

Pleasant Valley

Pollock Pines

Rescue

Shingle Springs

Somerset

South Lake Tahoe

Tahoma

Twin Bridges

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* 11. Is there anything you would like to add about how we can improve your experience with the El Dorado County HEAP Program?

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* 12. COVID-19 has been difficult for our community and also, our HEAP families. Please tell us how COVID-19 has impacted you. Check all that apply.

In the past 12 months, I lost my job or had a reduction of hours.

In the past 12 months, I received unemployment insurance.

In the past 12 months, I have had difficulty paying for food.

In the past 12 months, I have had difficulty paying my monthly rent or mortgage payment.

In the past 12 months, I have had difficulty accessing reliable transporation.

Other (please specify)

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* 13. Would you like to learn more about El Dorado County Health and Human Services?

Yes

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* 14. If yes, please provide your name and contact information.

Name

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Email Address

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* 15. If the HEAP Program has helped you and your family save money on home energy costs, please share your story. Your story may be selected to be included in the El Dorado County Community Action Plan 2022/2023 Needs Assessment.

Thank you for completing our survey. If you completed a paper copy, please return the completed survey, by March 10, 2021 to your local HEAP Office or fax to 530-295-2561. We appreciate your responses.