Skip to content
Client Satisfaction Survey
*
1.
What services brought you to the agency?
(Required.)
*
2.
Overall, how satisfied or dissatisfied are you with First State Community Action Agency?
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
*
3.
Which of the following words would you use to describe our services? (Check all that apply)
(Required.)
Reliable
High quality
Useful
Unique
Good value for money
Impractical
Ineffective
Poor quality
Unreliable
Other (please specify)
*
4.
How well do our services meet your needs?
(Required.)
Extremely well
Very well
Somewhat well
Not so well
Not well at all
*
5.
How would you rate the quality of our services?
(Required.)
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
*
6.
How responsive have we been to your questions or concerns about our services?
(Required.)
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
*
7.
How likely are you to request any of our services again?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
*
8.
How important do the employees at First State Community Action Agency make you feel?
(Required.)
Extremely important
Very important
Moderately important
Slightly important
Not at all important
*
9.
How politely did our representative treat you?
(Required.)
Extremely politely
Very politely
Moderately politely
Slightly politely
Not at all politely
*
10.
Do you have any other comments, questions, or concerns?
(Required.)
*
11.
Please provide your zip code:
(Required.)
Current Progress,
0 of 11 answered
