Respite Care Services, Inc. Satisfaction Survey Question Title * 1. How likely is it that you would recommend this company to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 2. Overall, how satisfied or dissatisfied are you with our company? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 3. Please share any positive experiences you have had with Respite Care Services. OK Question Title * 4. Please share any suggestions/feedback that you have to help us improve our services. OK Question Title * 5. How are you acquainted with Respite Care Services? Individual Receiving Services Parent/Guardian/Family Member of Individual Receiving Services Employee Case Manager or other Team Member of Individual Receiving Services Donor Board Member Community Member OK DONE