Exit 2023 Meals on Wheels Client Satisfaction Survey ROUTE: We value your feedback! Please complete this survey about the Meals on Wheels program. Participation in this survey is voluntary and you may skip any question. Your answers will be kept confidential and will not have any bearing on your ability to continue to receive services. Question Title * 1. Overall, How satisfied are you with the Meals on Wheels (MOW) service? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 2. How satisfied are you with the food quality? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 3. How satisfied are you with the volunteers that deliver your meals? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 4. How important is the MOW service for allowing you to remain in your home? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 5. Who prepares food for you, other than your MOW meals on weekdays? (check all that apply) Self Family Member Friends Caregiver Other Do not prepare any other meals Question Title * 6. Who prepares food for you, other than your MOW meals on weekends? (check all that apply) Self Family Friends Caregiver Other Do not eat meals on weekends Question Title * 7. What are your 3 FAVORITE MOW meals? 1. 2. 3. Question Title * 8. What are you 3 LEAST FAVORITE MOW meals? 1. 2. 3. Question Title * 9. Not counting your Meals on Wheels volunteer, how many people do you see each day? No one else 1 to 2 other people 3 to 4 other people 5 or more people Question Title * 10. Is it important for you to see another person every day? Yes No Question Title * 11. How many doses of the COVID-19 vaccine have you received? 1st shot 2nd shot 1st booster 2nd booster 3rd booster 4th booster None Question Title * 12. What day do you receive Meals on Wheels? Monday Tuesday Wednesday Thursday Friday I pick up at the MOW office Question Title * 13. If you have any comments or suggestions for the Meals on Wheels program, please write them here. Done