Customer Feedback Survey
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)
2.
How was the enrollment or application process?
Easy
Somewhat easy
Difficult
Very difficult
Other (please specify)
3.
Agency staff treated me with respect and was sensitive to my
situation and needs.
Yes
No
Other (please specify)
4.
Agency was able to meet my needs.
Yes
No
If No, please explain
5.
Agency staff were not able to meet my needs but I was referred to other resources.
Yes
No
N/A
Please explain
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)
7.
Do you have any additional comments?
8.
Name (optional)
9.
Would you like to be contacted?
Yes
No
10.
Contact information (phone number, email, etc.)
