2021 Client Satisfaction Survey Question Title * 1. Which staff person(s) at Disability Rights Maine assisted you? Question Title * 2. Please rate the help you received from DRM: Excellent Good Fair Poor N/A Question Title * 3. Did DRM keep you informed and up-to-date on your case? Yes No Question Title * 4. Did you receive prompt responses from DRM staff? Yes No Question Title * 5. Was DRM staff respectful of you? Yes No Question Title * 6. Was DRM staff respectful of your goals? Yes No Question Title * 7. Would you use DRM services again? Yes No Question Title * 8. If you answered "no" to any of the above, can you let us know why? Question Title * 9. If you could improve anything about DRM's services, what would it be? Question Title * 10. "Quick Quote" - What was your overall reaction to your experience with DRM? Question Title * 11. In the course of working with DRM, did you have the opportunity to read any of our brochures or visit our website? Yes No Question Title * 12. May we use your quote and name in our marketing materials? Yes No Question Title * 13. New members can join DRM at a reduced rate of $15.00 for the first year. Would you like to become a member of DRM? Yes No Question Title * 14. Optional Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Done