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V-SAC Service User Survey
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1.
Overall, how satisfied were you with V-SAC?
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
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2.
On a scale of 0 to 10,
How likely is it that you would recommend V-SAC to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
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3.
Which of the following words would you use to describe our service? Select all that apply.
(Required.)
Reliable
High quality
Useful
Unique
Supportive
Unresponsive
Impractical
Ineffective
Poor quality
Unreliable
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4.
How well did our services meet your needs?
(Required.)
Extremely well
Very well
Somewhat well
Not so well
Not at all well
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5.
How responsive were our staff/volunteers to your questions or concerns?
(Required.)
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
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6.
How many times have you used V-SAC's service? (Cases/Trials)
(Required.)
1
2
3
4
5+
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7.
If required, how likely are you to use our service again?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
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8.
Do you have any other comments, questions, or concerns?
(Required.)
*
9.
Do you consent to V-SAC using your comments (anonymously) in our testimonials?
(Required.)
Yes
No