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CAP Customer Service Survey
1.
What services did you receive at CAP?
Energy Assistance
Rental Assistance (rental help without case management)
Senior Nutrition
CAPtured Treasures
Housing Supports (case management with rental help)
HELP Warehouse Services (commodities, diapers, personal hygiene)
Weatherization
Grounds for Opportunity (GFO)
Career & Family Development
Transportation
Self-Help Housing Rehab
Other (please specify)
*
2.
I am satisfied with the services I received from CAP.
(Required.)
Strongly Disagree
Neutral
Strongly Agree
Clear
3.
(OPTIONAL)
Please share why you were or were not satisfied with the CAP services you received.
*
4.
My needs and preferences were heard and I felt respected by CAP staff.
(Required.)
Strongly Disagree
Neutral
Strongly Agree
Clear
*
5.
The location, times, and ways to access CAP services are convenient.
(Required.)
Strongly Disagree
Neutral
Strongly Agree
Clear
6.
(OPTIONAL)
Do you have any suggestions to improve CAP services?
7.
(OPTIONAL)
What has been the most helpful thing about the services you received at CAP?
8.
(OPTIONAL)
If you would like follow up from a CAP manager about your service, please fill out the form below.
Name
Email Address
Phone Number
Current Progress,
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