Customer Feedback Survey Which program or programs have you participated in? Please check all that apply. Question Title * 1. Which program or programs have you participated in? Please check all that apply. Boyceville Food Pantry Commodity Supplemental Food Program Senior Farmer Market voucher Program Skills Enhancement Literacy Dunn County Housing Choice Voucher (Section 8) Pierce/St. Croix Housing Choice Voucher (Section 8) Weatherization Energy Assistance West CAP Affordable Housing (Apartments or Single Family rental units) Tenant Based Rental Assistance (TBRA) Rapid Rehousing Program Permanent Supportive Housing Program Holiday Gift Program Back to School Program Other (please specify) How was the enrollment or application process? Question Title * 2. How was the enrollment or application process? Easy Somewhat easy Difficult Very difficult Other (please specify) Agency staff treated me with respect and was sensitive to my situation and needs. Question Title * 3. Agency staff treated me with respect and was sensitive to my situation and needs. Yes No Other (please specify) Agency was able to meet my needs. Question Title * 4. Agency was able to meet my needs. Yes No If No, please explain Agency staff were not able to meet my needs but I was referred to other resources. Question Title * 5. Agency staff were not able to meet my needs but I was referred to other resources. Yes No N/A Please explain How did you hear about us? Question Title * 6. How did you hear about us? Friend or family member Website Internet search Other service provider/Human Services agency Brochure Newspaper ad Other (please specify) Do you have any additional comments? Question Title * 7. Do you have any additional comments? Name (optional) Question Title * 8. Name (optional) Would you like to be contacted? Question Title * 9. Would you like to be contacted? Yes No Contact information (phone number, email, etc.) Question Title * 10. Contact information (phone number, email, etc.) Done
