Please be assured that Survey Monkey offers complete confidential survey deployment. Ensuring the anonymity of the responses entered by our stakeholders is an important issue. If you choose not to provide your name and contact information please be assured that your identity cannot be revealed.

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* 1. Date and time of call/contact with The Arc of Somerset County:

Date / Time

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* 2. Please enter the name of The Arc of Somerset County employee or the name of the Department with whom you had contact:

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* 3. Did you receive the information or resources that you inquired about?

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* 4. Was your concern handled in a prompt, efficient and professional manner?

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* 5. If you had a concern or issue, has it been resolved?

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* 6. Would you like us to inform the Board of Directors of your concern?

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* 7. To improve our services and enhance quality assurance, would you please share your experience with us? We would like to know for example: what was successful; what can we do to improve; where there any obstacles; are you satisfied?; etc.? 

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* 8. Would you like to provide us with general feedback?

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* 9. Our Mission is to provide quality services and advocacy for our individuals and their families; do you feel that our employees demonstrate our mission on a regular basis?

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* 10. Please indicate your affiliation with The Arc of Somerset County:

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* 11. If you would like us to contact you or if you would like more information about our services, please leave us your information:

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