Customer Feedback and Testimonial Form

1

Name(Optional)

First Initial

Last Name

2

How would you describe your experience when visiting our food pantry?

Excellent

Good

Fair

Poor

3

Do you feel welcomed and treated with respect by our staff and volunteers?

Always

Most of the time

Sometimes

Rarely

4

Is the food you receive helpful for you and your household?

Yes, very helpful

Somewhat helpful

Not very helpful

5

What could we do to make your experience better?Please tell us how we can serve you better, e.g., reusable bags or a quicker check-in process.

6

Are there any specific needs or services you would like us to offer?Hygiene products, paper goods, household products, job help, items we haven't offered, etc...

7

Please provide an audio request or feedback (Optional) Please note: By leaving a message, you are granting consent for the audio to be used in funding applications to relevant agencies.