Community Stakeholder Survey

Community Stakeholder Survey

We value your input and welcome your honesty in completing this community stakeholder survey. Please complete our survey by selecting an answer that best communicates your opinion. After completing the 10 questions, please provide additional comments and suggestions in the space provided.  Please indicate the number that represents your opinion using the following legend:
1.When contacting us by phone, your call is answered promptly and courteously.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
2.Our staff returns phone calls and/or answer email messages in a timely manner.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
3.Requests for information are responded to in a timely manner.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
4.Our staff has treated you with respect each time you have had contact with our agency.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
5.Persons who request services and meet qualifications are admitted in a timely manner.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Disagree
6.Our agency treats all persons participating in our program with respect.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
7.Our staff is sensitive to differences in cultural backgrounds of the persons served.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
8.Our agency encourages and is open to feedback about the quality of our services.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
9.Our organization is highly respected in the community for providing quality services.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
10.Our program would be recommended to others without hesitation.
Undecided
Strongly Disagree
Disagree
Agree
Strongly Agree
11.Location
12.Number of years you have known about our program:
13.Are you employed by an organization that refers people to our program?
14.Please select the focus that most applies to your organization:
15.Your relationship with persons who have participated in our program:
16.(Optional) Race:
17.(Optional) Age:
18.(Optional) Gender:
19.Additional Comments or Suggestions:
20.In which Quarter was this survey completed?