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Customer Satisfaction Survey
Location of services
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Danielson
Willimantic
What services did you receive?
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Case Management
Energy Assistance
Food Pantry
SNAP Outreach
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Customer Satisfaction Survey
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
N/A
1. My initial phone call was handled well.
2. The staff was respectful and friendly.
3. The waiting room and offices feel comfortable, clean and inviting.
4. The services I received were easy to access.
5. I am satisfied with the services I received.
6. I am satisfied with my overall experience.
7. I got the help I came to Access for.
8. I was given information about other programs that I may benefit from.
9. If you had an appointment, were you seen within 10 minutes of your scheduled time?
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Yes
N/A
No
10. Were you able to communicate with staff in your primary language?
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Yes
No
11. How did you hear about Access?
What is one thing we could do to improve your experience with us?
SNAP Outreach Customer Satisfaction Survey
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
N/A
SNAP Outreach Staff made me feel welcomed.
SNAP Outreach Staff treated me wtih dignity and respect.
SNAP Outreach Staff listened and responded to my needs and concerns.
I received services and supports based on my needs and eligibility.
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Yes
N/A
No
At the end of the SNAP application meeting, I clearly understood the services for which I was applying.
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Yes
N/A
No
If I was not eligible for services, SNAP Outreach staff explained why.
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Yes
N/A
No
Please indicate satisfaction level
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Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
N/A
Overall, how satisfied or dissatisfied are you with our services?
Please indicate likelihood
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Very Likely
Likely
Neutral
Unlikely
Very Unlikely
N/A
How likely are you to use our service again in the future?
How likely is it that you would recommend Access to a friend or colleague?
11. How did you find out about our program?
Do you have any other comments, questions or concerns?
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