Great Plains Youth & Family Services, Inc. (GPYFS)
Feedback Survey
Please confirm date of visit or event:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which GPYFS location did you visit?
*
Altus
Hobart
What GPYFS event or service did you participate in today?
*
Family Resource Center Services - Concrete Supports (Diapers/Wipes, Cleaning Supplies, Personal Hygiene Products, Etc.)
Group Connection – Parents as Teachers event at public library.
Emergency Assistance (Bill assistance, Food vouchers, etc.)
Parenting Support / Parenting Education
Resource Navigation / Referrals (housing, employment, etc.)
IMH (Infant and Maternal Mental Health)
Other
Was this your first time receiving services from us?
*
Yes
No
How did you hear about us? Please check all that apply.
*
Another GPYFS program (GPELC, PAT, After School Program, etc.)
Social Media
Flyer, brochure, or other printed materials
Friend or Family Member
Another agency/organization
Health Department
Walk-In
How satisfied are you with the service you received today?
*
Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Neither satisfied nor dissatisfied
The environment felt welcoming and I was treated me with kindness and respect.
*
Strongly Agree
Agree
Disagree
Strongly disagree
Neutral
Today's services or activities has helped me as a parent/caregiver. (Examples: learning something new, reducing stress, received needed resources, etc.)
*
Strongly Agree
Agree
Disagree
Strongly disagree
Neutral
This event or services has helped me build supportive connections with others. (Example: additional community supports, met new parent friends, learned about other GPYFS programs, etc.)
*
Strongly Agree
Agree
Disagree
Strongly disagree
Neutral
Do you feel more hopeful after this event or service today?
*
Strongly Agree
Agree
Disagree
Strongly Agree
Neutral
How likely are you to recommend the GPYFS to others?
*
Very likely
Likely
Maybe
Unlikely
Very unlikely
Please share any additional comments, suggestions, and/or impact (success) stories:
If you would like to earn 10 points in the Hobart FRC Grow & Earn Program for completing the survey, please put your full name below!
First Name
Last Name
Submit
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