Customer Satisfaction Survey - Final All Programs

1

Date

2

Location of services* This field is required.

Danielson

Willimantic

3

What services did you receive?* This field is required.Select all that apply

Case Management

Energy Assistance

Food Pantry

SNAP Outreach

6

The waiting room and offices feel comfortable, clean and inviting* This field is required.

Strongly Agree

Agree

Unsure

Disagree

Strongly Disagree

13

I was given information about other programs that I may benefit from* This field is required.

Strongly Agree

Agree

Unsure

Disagree

Strongly Disagree

14

If you had an appointment, were you seen within 10 minutes of your scheduled time?* This field is required.

Yes

No

N/A

15

Were you able to communicate with staff in your primary language?* This field is required.

Yes

No

17

SNAP Outreach staff responded to my needs and concerns* This field is required.

Strongly Agree

Agree

Unsure

Disagree

Strongly Disagree

18

I received services and supports based on my needs and eligibility.* This field is required.

Yes

No

N/A

19

At the end of the SNAP application meeting, I clearly understood the services for which I was applying.* This field is required.

Yes

No

N/A

20

19. If I was not eligible for services, SNAP Outreach staff explained why.* This field is required.

Yes

No

N/A

21

Overall, how satified or dissatisfied are you with our services?* This field is required.

Very Satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

23

How likely is it that you would recommend ACCESS to a friend or a colleague?* This field is required.

Very Likely

Likely

Neutral

Unlikely

Very Unlikely

24

What is one thing we could do to improve your experience with us?

25

Do you have any other comments, questions or concerns?