Resource Center Assistance Survey

We, at the Ohio Masonic Home Resource Center, value your opinion regarding the services we provide. Our goal is to assist our clients with any issue as best and as efficiently as possible, and we need your feedback to help us meet this goal. Please take a few moments and complete the following survey. The information you provide is confidential.

We appreciate any additional feedback or specific comments you may wish to share. However, to maintain confidentiality within this survey, we ask that you call to discuss these with Samantha Loy, Resource Center Director (937-504-4407) or Steve Petitjean, Executive Director, OMH Foundation (513-313-3099). Thank you for taking the time to respond to this survey!

Question Title

* 1. Who received our assistance?

Self

Family Member

Other

Question Title

* 2. Did the Resource Center provide you with the services and/or referrals you needed?

Extremely helpful

Somewhat helpful

Not very helpful

Not at all helpful

Question Title

* 3. Overall, how satisfied were you with the assistance you received from the Resource Center?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Question Title

* 4. How helpful was the Resource Center representative that you worked with?

Very helpful

Helpful

Neutral

Unhelpful

Very unhelpful

Question Title

* 5. How caring was the Resource Center representative that you worked with?

Very caring

Caring

Neutral

Uncaring

Very uncaring

Question Title

* 6. How likely would you be to recommend the Resource Center to others?

Very likely

Likely

Neutral

Unlikely

Very unlikely