Shelter Program Satisfaction Survey Form

Participant Experience Survey

Thank you for completing this survey. Your responses will be used to help ensure that our program continues to be responsive and sensitive to the needs of all guests. If there are any questions that you do not feel comfortable answering, please feel free to skip and move to the next one.
KA HALE A KE OLA HOMELESS RESOURCE CENTERS, INC.

CentralWestside
What services did you access while at KHAKO Homeless Resource Center? (check all that apply)

IntakeHousing NavigatorHousing SpecialistHousing RetentionDisability Case ManagerChildren's Services ProgramMEO Re-Entry ProgramDrug Court Sober Living ProgramRespite CareRental Assistance ProgramFood Services Program
SERVICE DELIVERY
1. KHAKO staff are helping me find permanent housing?*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
2. I had the opportunities to provide input towards my housing plan and services that were provided to me.*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
3. I feel safe at KHAKO.*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
4. Is the food at KHAKO healthy and good to eat?*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
5. KHAKO staff are sensitive to my ethnic and cultural background.*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
6. The staff respected my cultural and ethnic background. They were considerate of how I identified as a person regardless of age, race, color, marital status, religious affiliation, sexual orientation, or physical abilities.

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
7. The overall quality of my life has improved because of the services provided to me at KHAKO.*

Completely AgreeSomewhat AgreeNeutralDisagreeStrongly DisagreePrefer not to answer
Please explain:
PARTICIPANT INPUT
What would you like more of? How can we improve?
What would you like less of?
What other services, resources or assistance would you want available at KHAKO?
Is there anything else you would like us to know?
Mahalo nui loa for your input!

If there is a staff person you would like to talk to about this survey, please call the Shelter Programs Director at (808) 446-8126.
Should be Empty:

Participant Experience Survey

SERVICE DELIVERY

PARTICIPANT INPUT

Mahalo nui loa for your input!