Customer Satisfaction Survey
CAP values its customers and is committed to providing quality services. Please take a few moments to tell us about your experience with our staff, our programs and our community by completing the survey. We will be using your input to guide planning for the future. Thank you!
What type of service(s) have you received?
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Do you recall the name(s) of the person(s) who helped you?
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The outside of our building and our grounds were clean and well maintained
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I was able to find a parking space
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Handicapped parking was available
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The waiting area was clean and comfortable
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The offices were clean and neat
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Our phone system is easy to use
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Our receptionist was polite and respectful
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
My request for assistance was handled promptly
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff arrived on time for our appointment
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I was treated with respect by all CAP staff
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Our website is easy to navigate
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff listened and responded to my concerns
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff completed a thorough assessment of all my needs, not just those I was seeking assistance with
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff completely explained all the paperwork to me, including telling me why the paperwork is needed
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff worked with me to identify and set goals that would meet my needs
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff told me about additional CAP programs that might be helpful to me
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff gave me information on helpful programs/services outside of CAP, including contact information
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
If staff were unable to meet my needs, the reasons were clearly explained to me
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
If staff were unable to meet my needs, they were able to connect me with a program that could
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Are CAP hours of operation ideal for you to access services
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff took my needs seriously
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I was treated with respect
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Staff was professional and courteous
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I would recommend CAP
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Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
How have the service(s) you received changed your life?
What county do you live in?
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What town/city?
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How long have you lived here?
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Number of years or months
I think the three biggest needs of my neighbors, friends and/or my family are (please choose three):
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Food; nutrition education
Jobs
Utility assistance
Help in making our homes more energy effecient
Vehicle maintenance assistance
Training for new child care providers
Clothing
Budgeting
English as a Second Language Programs
Legal Aid
Healthy activities for youth and families
Decent, affordable housing
Education on ways to lower energy costs
Transportation
Childcare/Daycare
Health care/medical assistance
Rental assistance
Adult education/literacy
Aid for pregnant women/young mothers
Parenting/family support
Other
If you answered other above, please identify the need
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I think the three biggest needs of my community are (please choose three):
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Jobs
Decent, affordable housing
Home ownership
Community Pride
Increased recreational activities for youth/families
Making services available locally
Transportation
Housing rehabilitation
Other
May we contact you to provide a testimonial?
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Yes
No
If yes, please put in your name and contact information (email or phone number)
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Other comments and/or concerns
Submit
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