CLIENT SURVEY

Please help us serve you better by taking two minutes to tell us about your experience so far. We appreciate your perspective.

Which agency services are you currently receiving?

How long have you been receiving benefits?

Please check the statements you agree with:

How would you rate your overall experience with our agency?

Please explain the previous answer:

Were there services you needed or expected but did not receive? Please explain:

Were there barriers in obtaining needed services? Please explain:

What do you feel are our agency's strengths?

In what ways do you feel we could improve?

Please provide any other comments here: