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Shelby County Community Services Agency Customer Satisfaction Survey 2021-2022
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1.
What zip code do you live in?
(Required.)
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2.
What service(s) did you apply for today? (Check all that apply.)
(Required.)
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.
(Required.)
Very Good
Good
Fair
Poor
Very Poor
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4.
Name one community concern that you would like our agency to address?
(Required.)
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
Yes
No
Energy/Utility Cost
Yes
No
Employment/Job Training
Yes
No
Financial literacy/planning
Yes
No
Housing
Yes
No
Education/HS Diploma/GED
Yes
No
Legal issues/services
Yes
No
Medical care/Prescriptions
Yes
No
Mental Health
Yes
No
Substance Abuse Treatment
Yes
No
Transportation
Yes
No
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6.
Are you having difficulty obtaining a job that pays $15 per hour or more?
(Required.)
Yes
No
Current Progress,
0 of 6 answered