Question Title

* 1. Date

Date

Question Title

* 2. Goodwill location:

Question Title

* 3. Do you agree with the following statements?
Doors are easy to pull/push open.
Drinking fountains are adequate.
There is enough light in my work area.
The restroom is adequate for my use.
The floors are safe for walking.
The tables and chairs are adequate for my use.
The building sidewalks are safe.
There are sufficient accessible parking spaces.

Question Title

* 4. I am treated with dignity and respect.

Question Title

* 5. Goodwill has adequate staff, supplies and materials for my program service.

Question Title

* 6. I am able to effectively communicate with staff.

Question Title

* 7. My program materials are presented in a language or format I understand.

Question Title

* 8. I have adequate transportation to program.

Question Title

* 9. Additional Comments:

T