PCCOA Shareholder Satisfaction Survey

We Need Your Input! For completing our survey, YOU COULD WIN $100!

The Preble County Council on Aging Board of Trustees requests that you complete the following survey in order to assure that the services being offered are properly selected and your tax dollars are being used to meet the greatest need!

Question Title

1. Have you had the occasion to visit the Preble County Senior Center?

Yes

No

Question Title

2. Rate the importance of the following services to Preble County Seniors?

	Most Important	Important	Least Important
Activities (trips, cards, bingo, dancing, social events, chair volleyball, etc.)	Activities (trips, cards, bingo, dancing, social events, chair volleyball, etc.) Most Important	Activities (trips, cards, bingo, dancing, social events, chair volleyball, etc.) Important	Activities (trips, cards, bingo, dancing, social events, chair volleyball, etc.) Least Important
Courtyard Cafe (interactive social environment for all ages in a Cafe atmosphere)	Courtyard Cafe (interactive social environment for all ages in a Cafe atmosphere) Most Important	Courtyard Cafe (interactive social environment for all ages in a Cafe atmosphere) Important	Courtyard Cafe (interactive social environment for all ages in a Cafe atmosphere) Least Important
Emergency Services (home repair, rent/utility assistance, handicap accessibility, etc.)	Emergency Services (home repair, rent/utility assistance, handicap accessibility, etc.) Most Important	Emergency Services (home repair, rent/utility assistance, handicap accessibility, etc.) Important	Emergency Services (home repair, rent/utility assistance, handicap accessibility, etc.) Least Important
Homemaking (light housekeeping, meal preparation, errands, etc.)	Homemaking (light housekeeping, meal preparation, errands, etc.) Most Important	Homemaking (light housekeeping, meal preparation, errands, etc.) Important	Homemaking (light housekeeping, meal preparation, errands, etc.) Least Important
Information Assistance (Medicare application, Tax Returns Preparation, etc.)	Information Assistance (Medicare application, Tax Returns Preparation, etc.) Most Important	Information Assistance (Medicare application, Tax Returns Preparation, etc.) Important	Information Assistance (Medicare application, Tax Returns Preparation, etc.) Least Important
Transportation (rides for medical, groceries, nutrition sites, etc.)	Transportation (rides for medical, groceries, nutrition sites, etc.) Most Important	Transportation (rides for medical, groceries, nutrition sites, etc.) Important	Transportation (rides for medical, groceries, nutrition sites, etc.) Least Important

Question Title

3. Do you support using Tax Levy Dollars for the following?

	Yes	No
Activities	Activities Yes	Activities No
Courtyard Cafe	Courtyard Cafe Yes	Courtyard Cafe No
Emergency Assistance	Emergency Assistance Yes	Emergency Assistance No
Homemaking	Homemaking Yes	Homemaking No
Information Assistance	Information Assistance Yes	Information Assistance No
Transportation	Transportation Yes	Transportation No

Question Title

4. Overall, how satisfied are you with the Preble County Senior Center services and programs?

Very Satisfied

Satisfied

Not Satisfied

Are there additional services you would like us to offer?

Question Title

5. Please add any comments or suggestions below.

Question Title

6. To participate in our drawing for $100, you must be 18 years of age or older, a Preble County resident and have returned/completed the survey by May 31, 2012. Winner will be drawn at our Annual Meeting on June 18th. Winner need not be present to win!

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