SJC CoC Feedback Form

St. Johns County Continuum of Care Feedback Form

Please take a few moments to provide the St. Johns County Continuum of Care Lead Agency with your feedback as it relates to services and programs offered through the St. Johns County CoC network.
E-mail (optional)
Phone Number (optional)

Area CodePhone Number
Name (optional)

First Last
Please rate your satisfaction with the overall structure of the St. Johns County Continuum of Care (quality of services, amount of services, types of services, etc.)

Highly SatisfiedSatisfiedNeutralDissatisfiedHighly Dissatisfied
Questions, Comments and/or Suggestions about the CoC Network and the programs and services offered
If you have used any of the St. Johns County Continuum of Care's networked service(s) and program(s), Please indicate which agency or agencies you worked with
Please indicate which policies and procedures were properly explained to you and enforced.

Program's Anti-Discrimination PolicyProgram's Grievance PolicyProgram's Termination PolicyProgram's Housing First Policy (if applicable)Program's VAWA Policy (if applicable)
Additional Comments
Would you like to be contacted by a representative of the CoC Lead Agency staff?

YesNo
Should be Empty:

St. Johns County Continuum of Care Feedback Form