1.I applied/received services through the following RCCAA Department:

HeadStart/Early HeadStart

Housing/Homeless Services

Transportation

Housing/Rental-Utility Assistance

2.The service I received was helpful and efficient.

1 - Poor

2 - Fair

3 - Good

4 - Very Good

5 - Excellent

3.I was treated with respect.

1 - Very Dissatisfied

2 - Dissatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

4.Staff listened to me and my concerns.

1 - Not at all

2 - Slightly

3 - Moderately

4 - Very well

5 - Extremely well

5.The facility and equipment were clean and organized.

1 -Poor

2 - Fair

3 -Average

4 - Good

5 - Execellent

6.The services delivered helped me or my family long term.

Not at all

Slightly

Moderately

Very Well

Extremely Well

7.After receiving services, I would describe my current circumstances as:

In Crisis

Stable

Safe

Thriving

8.Please provide any additional comments or suggestions you have regarding our customer service.

9.Would you like someone to contact you regarding other services provided by RCCAA? If so, please indicate which services and provide your contact information

HeadStart/Early HeadStart

Transportation

Housing/Homeless Services

Utility Assistance/Rental Assistance