* 1. There are three options to be screened for an appointment at Interfaith Ministries of Denton. Please indicate which options were available to you.

* 2. If you were given an appointment please answer the following question:

My appointment was scheduled within 1-2 business days after contacting the agency.

* 3. The staff/volunteers treated me with respect.

* 4. My caseworker was knowledgeable about other organizations that could assist me long term.

* 5. My main concern that I came to the organization with was addressed.

* 6. I would recommend Interfaith Ministries to others.

* 7. I would contact Interfaith Ministries in the future.

* 8. Who referred you to Interfaith Ministries?

* 9. Do you have any other comments, questions, or concerns?

* 10. Would you be interested in sharing your story with others? If so - please leave your name and phone number below. Thank you!