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Community Action Agency South Central Michigan
Customer Service Survey
Please tell us how we are doing!
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1.
Which Community Action services have you received? (Check all that apply)
(Required.)
Weatherization
Plumbing Repairs
Rent Assistance
Utility Assistance
Transportation
USDA Food Boxes
Head Start and/or GSRP
Early Head Start and/or Home Visiting
Foster Grandparent/ Senior Volunteer Program
Senior Minor Home Repair
Lead Safe Program
Adult Education (GED)
Kalamazoo Educational Assistance Program
Veterans Program (SSVF)
Career Pathways Program
ECE Housing Incentive Program
Other (please specify)
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2.
Did you receive services virtually or in person?
(Required.)
Virtual
In person
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3.
What county do you reside in?
(Required.)
Calhoun
Kalamazoo
Barry
Branch
St. Joseph
Hillsdale
Jackson
Lenawee
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4.
Was the space accessible and comfortable?
(Required.)
Yes
No
If you answered no, please explain.
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5.
How satisfied were you with the services you received?
(Required.)
very satisfied
satisfied
somewhat satisfied
dissatisfied
very dissatisfied
very satisfied
satisfied
somewhat satisfied
dissatisfied
very dissatisfied
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6.
Do you feel that your privacy and confidentiality were respected?
(Required.)
Yes
No
If you answered no please explain...
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7.
How did you hear about Community Action services? (Check all that apply)
(Required.)
From someone you know
Ad in the Paper
Social Media
Another Organization
211
MI Bridges
Community Action Vehicle in the Community
Other (please specify)
8.
Did you need any additional services that Community Action did not have available?
9.
Any additional comments or suggestions?
10.
Please provide your name and phone number if you would like to share your story or be contacted by Community Action regarding your experience.
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