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Customer Satisfaction Survey
This survey is voluntary and completely confidential. the results of this survey will be used to improve your overall experience, as well as the programs and services like the ones you received from NWCSA.
1.
Please input date.
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2.
County
Ashland
Bayfield
Iron
Douglas
Price
Other (please specify)
3.
Are you a
Participant in a NWCSA program
A Donor
Station or Site
Other (please specify)
4.
Services you have received or participated in (check all that apply)
Housing
Food Pantry
Homeless Shelters
Volunteer Income Tax Assistance Program
RSVP
Lew Martin Senior Center
Memory Lane
WIC
Other (please specify)
5.
On a scale of 1 to 5 (with 1 being very low and 5 being very high), how would you rate the following statements about your experience with NWCSA:
The people at NWCSA treated me with respect.
Very Low
Very High
Very Low
Very High
6.
On a scale of 1 to 5 (with 1 being very low and 5 being very high), how would you rate the following statements about your experience with NWCSA:
The people at NWCSA were helpful.
Very Low
Very High
Very Low
Very High
7.
On a scale of 1 to 5 (with 1 being very low and 5 being very high), how would you rate the following statements about your experience with NWCSA:
The people at NWCSA helped me in a timely manner.
Very Low
Very High
Very Low
Very High
8.
On a scale of 1 to 5 (with 1 being very low and 5 being very high), how would you rate the following statements about your experience with NWCSA:
The people at NWCSA provided me with services that met my needs.
Very Low
Very High
Very Low
Very High
9.
Do you have any other comments, questions, or concerns? Feel free to share any comments or concerns you may have about your experience. If you have no comments, please leave blank.
Current Progress,
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