Input survey community

Goodwill of Wayne and Holmes Counties, Inc. Input Survey - Community

Consumer Name *

Program *

Date *

Date

Please help us improve our services by answering the following questions: Write out any general suggestions you have that would help Goodwill improve our services:

Write out any general suggestions you have that would help Goodwill improve our services

Rate the following areas 0=does not apply, 1=unsatisfied, 2= fair, 3=good, 4=above average, 5=excellent

Intake/Service Plan - Case Manager was polite and respectful *

Intake/Service Plan - I understood the information presented *

Intake/Service Plan - The paperwork was easy to fill out *

Comments

Rate the following areas 0=does not apply, 1=unsatisfied, 2= fair, 3=good, 4=above average, 5=excellent

Case Management/Job Coach - Case Manager/Job Coach was polite and respectful *

Case Management/Job Coach - My concerns were addressed in a timely manner *

Case Management/Job Coach - Goodwill made accommodations as necessary *

Case Management/Job Coach - I knew how to file a complaint *

Comments

Rate the following areas 0=does not apply, 1=unsatisfied, 2= fair, 3=good, 4=above average, 5=excellent

Safety - I felt safe while at Goodwill *

Safety - The buildings and facilities were easy to navigate *

Safety - I knew what to do in an emergency *

Comments

Rate the following areas 0=does not apply, 1=unsatisfied, 2= fair, 3=good, 4=above average, 5=excellent

Training - Presenter was polite and respectful *

Training - I understood the information presented *

Training - The training classes will be or were helpful in getting a job *

Comments