Dear Visitor:
Your opinions and satisfaction are valuable to us!  Although putting your name and telephone number on the survey is optional, we would appreciate having a method of contacting you if necessary.  All surveys will be submitted directly to me and your name and contact information will not be released to the public.

Thank you for taking the time to complete this brief survey.

Sincerely,
Debra D. Farrell, Executive Director
Was the Reception staff professional and courteous?
Were you made to feel welcome and respected?
What need brought you to our office?
Were our workers courteous and helpful?
Did you receive the assistance you needed?
Did our workers refer you to other programs or services to assist you with your needs?
If yes, were the referrals helpful?
Overall, do you consider your visit to our agency helpful?
YES
NO
YES
NO
housing
utilities
transportation
prescription medication
weatherization
CHIP
other
YES
NO
YES
YES
YES
YES
NO
NO
NO
NO