Responding to Autism Center
Customer Feedback Survey

Adult Services Customer Feedback

We need your feedback! Please take a few minutes and let us know how we are doing. This quick survey will help us to improve our programs and services.

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* 1. Please mark one of the following:

I am an individual who has received services form the Responding to Autism Center.

I am a parent or caregiver of a person who has received services at the Responding to Autism Center.

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* 2. The Responding to Autism Center staff were knowledgeable and able to answer my questions.

Agree

Disagree

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* 3. I was treated with courtesy and respect by the Responding to Autism Center Staff.

Agree

Disagree

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* 4. I benefited from the services the Responding to Autism Center provided.

Agree

Disagree

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* 5. The Responding to Autism Center is an accessible, safe, and comfortable facility?

Agree

Disagree

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* 6. The Responding to Autism Center provided services during a time (day and time of appointments) that worked for me.

Agree

Disagree

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* 7. I was part of the process in setting employment or personal goals.

Agree

Disagree

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* 8. If I knew someone who needed similar services I would refer them to the Responding to Autism Center.

Agree

Disagree

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* 9. What can the Responding to Autism Center do to Improve our services?

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* 10. Please share any additional comments or feedback you may have for us.

Thank you for taking the time to give us your feedback!

Sincerely,

Responding to Autism Center Staff.