CUSTOMER SERVICE SURVEY
Thanks for your response and for helping improve services!
For survey assistance please contact communications@olhsa.org.
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1.
What County do you live in?
(Required.)
Oakland
Livingston
Other (please specify)
2.
What is your race and/or ethnicity? Select all that apply.
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
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3.
Was it easy to contact OLHSA?
(Required.)
Yes
No
4.
Which services did you receive from OLHSA? Check all that apply.
Early Education
Grandparents Raising Grandchildren
Homelessness (lack of housing)
Housing Support
Medical Support
Nutrition Supports
Older Adult Services
Referrals & Resources
Transportation
Utility Assistance
Veteran Programs
Weatherization
Other (please specify)
None of the above
5.
What specific service(s) did you receive?
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6.
Did OLHSA meet your needs?
(Required.)
Yes or No
Reason
Needs met?
-- Select an option --
Yes
No
-- Select an option --
Did not qualify
Program not available
Wait list
Missing documents
Referral to another agency or program
All needs met
7.
What services did you need that OLHSA did not have?
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8.
Which of the following words would describe your experience at OLHSA?
(Required.)
Satisfied
Unsatisfied
Other
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9.
Did you find the staff to be? (check all that apply)
(Required.)
Knowledgeable
Helpful
Professional
Uninformed
Unhelpful
Unprofessional
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10.
Were you told about "other" OLHSA services?
(Required.)
Yes
No
11.
Any additional comments or concerns?
12.
If you would like to be contacted about your responses, please leave your contact information below (name/phone/email).
