Customer Satisfaction Survey Question Title * 1. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 2. What is your ethnicity? (Please select all that apply.) American Indian or Alaskan Native Asian or Pacific Islander Black or African American Hispanic or Latino White / Caucasian Multi-Racial Prefer not to answer Other (please specify) OK Question Title * 3. What is the highest level of education you have completed? Did not graduate high school Graduated from high school/GED 1 year of college 2 years of college 3 years of college Graduated from college Some graduate school Completed graduate school OK Question Title * 4. Do you currently have health insurance, or not? Yes, I do No, I do not OK Question Title * 5. What is your family type? Single Parent Female Single Parent Male Two Parent Household Single Person Multiple Adults, No Children OK Question Title * 6. Describe your housing situation. Own Rent Homeless Other If Other please describe OK Question Title * 7. What services did we provide? Early Head Start Free Income Tax Assistance Head Start In Home Services Mason County Homeless Shelter Senior Employment Services Supportive Services for Veterans Utility Assistance Weatherization OK Question Title * 8. Did staff assist you in a timely manner? Strongly Agree Agree Neutral or Not Applicable Disagree Strongly Disagree OK Question Title * 9. Staff was courteous, respectful, friendly and helpful. Strongly Agree Agree Neutral or Not Applicable Disagree Strongly Disagree OK Question Title * 10. My overall service experience was positive. Strongly Agree Agree Neutral or Not Applicable Disagree Strongly Disagree OK DONE