Information and Assistance Feedback Survey

Thank you for contacting the Greater Nashville Regional Council about programs available to older adults and those with disabilities. Please complete this short survey to help us continue to improve our Aging and Disability Services Helpline.

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* 1. What was the purpose of your call to GNRC?

Information related to community resources

Medicare assistance or information

Information related to in-home care or long-term care services

Other (please specify)

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* 2. Was the counselor courteous and professional when speaking with you?

Yes

I'm not sure

If no, please provide additional information about your experience.

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* 3. Was the counselor able to answer your questions and provide the assistance you were seeking?

Yes

I'm not sure

If no, please provide more information

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* 4. Would you recommend GNRC to others seeking help?

Yes

I'm not sure

If no, please provide additional information about your experience.

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* 5. Do you have any additional questions that we can address?

Yes

If yes, please share your question here.

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* 6. Do you want to recognize anyone who gave you exceptional service?

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* 7. Please leave your contact information if you would like us to follow up with you.

First Name

Last Name

Phone