Evaluation Form
We value your input
Please rate our service
*
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
How did you find working with Whanau Resource Centre?
Have we helped to support you to change your situation since we began working with you?
Are you better off as a result of our services?
Do you have any further comments regarding working with Whanau Resource Centre?
0/1000
Is there anything we could do better next time?
0/1000
Please indicate how satisfied you are overall with our services?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Your Name
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Email Address
*
example@example.com
Submit
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