CAP Agency Client Survey 2019 Agency Operations Question Title * 1. Choose the top 3 most convenient hours for you to visit our CAP Agency office 7-8am 8am-12pm 12-4:30pm 4:30-6pm 6-8pm Monday Monday 7-8am Monday 8am-12pm Monday 12-4:30pm Monday 4:30-6pm Monday 6-8pm Tuesday Tuesday 7-8am Tuesday 8am-12pm Tuesday 12-4:30pm Tuesday 4:30-6pm Tuesday 6-8pm Wednesday Wednesday 7-8am Wednesday 8am-12pm Wednesday 12-4:30pm Wednesday 4:30-6pm Wednesday 6-8pm Thursday Thursday 7-8am Thursday 8am-12pm Thursday 12-4:30pm Thursday 4:30-6pm Thursday 6-8pm Friday Friday 7-8am Friday 8am-12pm Friday 12-4:30pm Friday 4:30-6pm Friday 6-8pm Saturday Saturday 7-8am Saturday 8am-12pm Saturday 12-4:30pm Saturday 4:30-6pm Saturday 6-8pm Question Title * 2. What need brought you to CAP Agency today? Food (WIC, SNAPO, Food Shelf) Energy Assistance Head Start/ Early Head Start Housing Child care resources Client Services (Front Desk) Crisis Nursery Employment Opportunities Thrift Shop Senior Services Question Title * 3. Did Client Services (Front Desk) staff (select all that apply) Appear knowledgeable and competent Provide the resources you needed Listen and address concerns/issues appropriately Provide friendly and polite service Provide clear and helpful information Meet or exceed expectations If not, please explain: Question Title * 4. Did program (ex: Food Shelf, Housing, WIC, etc) staff (select all that apply) Appear knowledgeable and competent Provide the resources you needed Listen and address concerns/issues appropriately Provide friendly and polite service Provide clear and helpful information Meet or exceed expectations today If no, please explain: Question Title * 5. Select all that are true I feel comfortable communicating with staff Information was communicated in a respectful manner Question Title * 6. Were interpreter services offered? N/A - Not required Was offered Was not offered Desired language: Question Title * 7. Did you or anyone in your family use one or more services at CAP today? Yes No If yes, which services? Question Title * 8. Did you find the waiting room space comfortable? Strongly agree Agree Disagree Strongly disagree Please explain: Question Title * 9. Did you call CAP Agency before your visit? Yes No Question Title * 10. If yes, please rate the service you received on the phone. Yes No N/A I was listened to and my concerns were addressed appropriately. I was listened to and my concerns were addressed appropriately. Yes I was listened to and my concerns were addressed appropriately. No I was listened to and my concerns were addressed appropriately. N/A I was provided friendly and polite service. I was provided friendly and polite service. Yes I was provided friendly and polite service. No I was provided friendly and polite service. N/A I was provided clear and helpful information. I was provided clear and helpful information. Yes I was provided clear and helpful information. No I was provided clear and helpful information. N/A My call was answered promptly. My call was answered promptly. Yes My call was answered promptly. No My call was answered promptly. N/A It was easy to get a hold of someone when placing my call. It was easy to get a hold of someone when placing my call. Yes It was easy to get a hold of someone when placing my call. No It was easy to get a hold of someone when placing my call. N/A Question Title * 11. Have you ever visited our website? Yes No Question Title * 12. If yes, please rate the following Yes No N/A It was easy to use. It was easy to use. Yes It was easy to use. No It was easy to use. N/A I could find what I was looking for. I could find what I was looking for. Yes I could find what I was looking for. No I could find what I was looking for. N/A When I sent a message, I received a response. When I sent a message, I received a response. Yes When I sent a message, I received a response. No When I sent a message, I received a response. N/A Is there anything else that would have been helpful on our website? Question Title * 13. What could CAP staff do to make your experience better? Question Title * 14. Overall, I was satisfied by the service I received from the following CAP staff. Strongly Agree Agree Disagree Strongly Disagree N/A Client Services (front desk) Client Services (front desk) Strongly Agree Client Services (front desk) Agree Client Services (front desk) Disagree Client Services (front desk) Strongly Disagree Client Services (front desk) N/A Crisis Nursery Crisis Nursery Strongly Agree Crisis Nursery Agree Crisis Nursery Disagree Crisis Nursery Strongly Disagree Crisis Nursery N/A Energy Assistance Energy Assistance Strongly Agree Energy Assistance Agree Energy Assistance Disagree Energy Assistance Strongly Disagree Energy Assistance N/A Food Shelf Food Shelf Strongly Agree Food Shelf Agree Food Shelf Disagree Food Shelf Strongly Disagree Food Shelf N/A Head Start/Early Head Start Head Start/Early Head Start Strongly Agree Head Start/Early Head Start Agree Head Start/Early Head Start Disagree Head Start/Early Head Start Strongly Disagree Head Start/Early Head Start N/A Housing Housing Strongly Agree Housing Agree Housing Disagree Housing Strongly Disagree Housing N/A SNAP Outreach SNAP Outreach Strongly Agree SNAP Outreach Agree SNAP Outreach Disagree SNAP Outreach Strongly Disagree SNAP Outreach N/A Thrift Shop Thrift Shop Strongly Agree Thrift Shop Agree Thrift Shop Disagree Thrift Shop Strongly Disagree Thrift Shop N/A WIC WIC Strongly Agree WIC Agree WIC Disagree WIC Strongly Disagree WIC N/A If you were not satisfied, please explain: Question Title * 15. Any other comments/suggestions? Finish Survey
