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Customer Satisfaction Survey
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1
Date
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Month
Day
Year
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2
What services did you receive?
*
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Select all that apply
Case Management
Energy Assistance
Food Pantry
SNAP Outreach
Mobile Food Pantry
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3
Location of services
*
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Danielson
Willimantic
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4
Mobile Food Pantry Site?
*
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Salem Village
Canterbury Town Hall
Birchwood Terrace
Maple Courts
Elisha Brook
Woodland Springs
Parker Place
Ashton Towers
Father Honan Terrace
Village Heights
Windham Heights
Windham Senior Center
Willington Woods
Other
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5
My initial telephone call was handled well
*
This field is required.
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
N/A
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6
The food pantry is welcoming, clean and well organized
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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7
The staff was respectful and friendly
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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8
The food pantry has nutritious and varied foods
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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9
The food pantry offers good quality products
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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10
The waiting room and offices feel comfortable, clean and inviting
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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11
The services I received were easy to access
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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12
I am satisfied with the services I received
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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13
I am satisfied with my overall experience
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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14
I got the help I came to ACCESS for
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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15
I was given information about other programs that I may benefit from
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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16
If you had an appointment, were you seen within 10 minutes of your scheduled time?
*
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Yes
No
N/A
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17
Were you able to communicate with staff in your primary language?
*
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Yes
No
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18
SNAP Outreach Staff made me feel welcomed
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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19
SNAP Outreach Staff treated me with dignity and respect
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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20
SNAP Outreach Staff listened and responded to my needs and concerns
*
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
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21
I received services and supports based on my needs and eligibility
*
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Yes
No
N/A
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22
At the end of the SNAP application meeting, I clearly understood the services for which I was applying.
*
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Yes
No
N/A
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23
19. If I was not eligible for services, SNAP Outreach staff explained why.
*
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Yes
No
N/A
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24
Overall, how satified or dissatisfied are you with our services?
*
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Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
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25
How likely are you to use our services in the future?
*
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Very Likely
Likely
Neutral
Unlikely
Very Unlikely
N/A
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26
How likely is it that you would recommend ACCESS to a friend or a colleague?
*
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Very Likely
Likely
Neutral
Unlikely
Very Unlikely
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27
How did you hear about ACCESS?
*
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2-1-1
Friend/Family
Newspaper
Website
Yellow Pages
Other
Other
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28
What is one thing we could do to improve your experience with us?
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29
Do you have any other comments, questions or concerns?
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