Shelby County Community Services Agency Customer Satisfaction Survey 2021-2022

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* 1. What zip code do you live in?

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* 2. What service(s) did you apply for today? (Check all that apply.)

Rent/Mortgage Assistance

Utility Assistance

Housing

Medical Prescription Assistance

SERF/Case Management

Other

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* 3. Please rate your level of satisfaction with the agency staff and services provided.

Very Good

Good

Fair

Poor

Very Poor

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* 4. Name one community concern that you would like our agency to address?

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* 5. In your opinion, does your community provide adequate assistance for lower income families and individuals in the categories below? Please check Yes or No.

	Yes	No
Child care	Child care Yes	Child care No
Energy/Utility Cost	Energy/Utility Cost Yes	Energy/Utility Cost No
Employment/Job Training	Employment/Job Training Yes	Employment/Job Training No
Financial literacy/planning	Financial literacy/planning Yes	Financial literacy/planning No
Housing	Housing Yes	Housing No
Education/HS Diploma/GED	Education/HS Diploma/GED Yes	Education/HS Diploma/GED No
Legal issues/services	Legal issues/services Yes	Legal issues/services No
Medical care/Prescriptions	Medical care/Prescriptions Yes	Medical care/Prescriptions No
Mental Health	Mental Health Yes	Mental Health No
Substance Abuse Treatment	Substance Abuse Treatment Yes	Substance Abuse Treatment No
Transportation	Transportation Yes	Transportation No

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* 6. Are you having difficulty obtaining a job that pays $15 per hour or more?

Yes

No