Disaster Services Client Survey

 
The American Red Cross is interested in learning about your recent experience. Please help us by having one member of your household complete this survey.
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1. Please enter the five-digit survey code (chapter code) you were given when invited to complete this survey.
2. If you were asked to enter any additional numbers or letters, please enter them here.
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3. Please enter your five-digit home zip code.
4. What type of disaster did you experience?
5. What comments would you like to share about your experience with Red Cross disaster assistance? (What you liked best? Suggestions?)
6. After the disaster, who helped you get in touch with the Red Cross? (Check all that apply.)
7. How soon after the disaster did you talk with a Red Cross worker? (Check only one.)
8. Where did you first get Red Cross help? (Check only one.)
9. Because of the disaster, did you spend any nights in a hotel or motel room paid for by the Red Cross?
YesNo
Did Red Cross provide hotel/motel room?
Was it safe?
Was it clean?
10. Because of the disaster, did you spend any nights in a Red Cross shelter?
YesNo
Stayed in Red Cross shelter?
Was it safe?
Was it clean?
Did the food meet your needs?
11. Did the Red Cross give you a client assistance card (possibly a Mastercard) that you could use to buy any of the following? (Check all that apply.)
12. At the time of the disaster, was there anyone in your household who . . . (Check all that apply)
13. Before the disaster did you have. . . (Check all that apply.)
14. Did the Red Cross help you with. . . (Check all that apply.)
15. How would you rate the Red Cross on each of the following?
ExcellentVery GoodAbove AverageBelow AveragePoorExtremely PoorDoes not apply
Making it easy for you to get help
Getting you in touch with Red Cross workers who were knowledgeable and helpful
Treating you with kindness, respect and dignity
Keeping your wait as short as possible
Giving you help that was useful to you in beginning your recovery
Meeting your most immediate needs
Helping you get in touch with other groups to assist you
How would you rate the Red Cross services you received overall?
16. How likely is it that you would recommend the American Red Cross to a friend?
Not at All Likely 01234Neutral 56789Extremely Likely 10
Likely to Recommend
17. Was the help that you got from the Red Cross. . .
The Red Cross wants to know more about you to better tailor our programs and services to our communities and to help donors understand who is being helped.
18. At the time of the disaster, were there any pets living in your household?
19. At the time of the disaster, were there any people living with you who were. . . (Check all that apply.)
20. At the time of the disaster, was there anyone in your household of Hispanic, Spanish, or Latino descent?
21. Which of the following apply to the people living in your household at the time of the disaster? (Check all that apply.)
22. If you could change one thing about your experience with the Red Cross, what would it be?
23. If your local Red Cross chapter included a question in the survey invitation, please enter your response here.