Listening to customers has always been important to us. Your feedback will help us better serve people like you!

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* 1. Did the representative at SCA try to help you by providing information about other services?

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* 2. What are your biggest unmet needs? Please check all that apply.

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* 3. Overall, how satisfied are you with Schuylkill Community Action?

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* 4. How well does our services meet your needs?

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* 5. Please evaluate our performance in the following areas by checking the appropriate box.

  Very High Quality High Quality Neither High nor Low Quality Low Quality Very Low Quality
Customer Service/Communication
Quality of Program/Services Provided
Accessibility/Cleanliness of Our Facilities
Professionalism/Willingness of SCA Representative to Help
Overall Experience with SCA

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* 6. Please check all characteristics below that apply to you.

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* 7. Are you of Hispanic, Latino, or Spanish origin?

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* 8. Please check the characteristic below that applies to you.

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* 9. Please enter all of the characteristics below that apply to you or your immediate family.
Do you or a family member have a Disability? If the answer is YES, please list whether it is a physical/developmental disability, mental disability, or both affecting household members.

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* 10. Please check the program(s) you were applying for during your visit.

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* 11. If you would like to receive SCA updates on our programs and the organization, please provide your email address below.

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