Thank you for your time and effort to give us feedback about Goodwill's services. We are very interested in making sure we provide you with the best possible service. This survey should not take more than 2 minutes to complete and will help us better meet our referral parnters’ needs. Your answers will remain confidential. We appreciate your input!

* 1. What is the primary reason you refer clients to Goodwill?

* 2. How many referrals have you made in the last 12 months?

* 3. What service/program do you refer your clients most frequently or most recently?

* 4. How do you feel about the services we provide regarding your referrals?

  Strongly Agree Agree Neutral Disagree Strongly Disagree
The referral process is easy
Staff responsiveness
Kept informed of client's progress
The outcome obtained was desirable

* 5. Rate your overall satisfaction with Goodwill

* 6. Likelihood to use Goodwill in the future?

* 7. Likelihood to recommend Goodwill to others?

* 8. What could Goodwill do better?

* 9. Please select type of Referring Agency. If Other, please describe.

* 10. Please Enter the zip code for your organization:

* 11. Contact Information (Name, Address, Phone Number & Email Address): Your contact information is optional.

Please contact us if you have concerns you would like to express or services we can provide.