Please help us serve you better by taking two minutes to tell us about your experience so far. We appreciate your perspective.
Take Survey
This survey consists of three short sections:

Section 1 asks you about your recent experience in obtaining assistance/information.

Section 2 focuses on our Customer Service Representatives and the quality of your interaction with them.

Section 3 is about us as an agency and your comments on how well we serve the community or how we could improve services.

Section 1 | Benefits

Which agency services are you currently receiving? *

How did you learn about our agency and our services? *

How long have you been receiving benefits? *

How would you rate your overall experience? *

Please explain

When applying for services, were you informed of your rights and responsibilities? *

Please check the statements you agree with: *

Was the interview held by phone or in person and how was that experience? *

Section 2 | Customer Service

In your most recent customer service experience, how did you contact our representatives? *

How quick were our representatives in getting back to you? *

Was staff professional and courteous? *

Was staff knowledgeable and helpful? *

Overall, how satisfied were you with your customer service experience? *

Section 3 | Agency Services

Were there services you needed or expected but did not receive? *

Were there any barriers in obtaining needed services? *

Have you utilized our agency website? *

What do you feel are the agency's strengths? *

In what way/ways could the agency improve? *

Section 4 | About You

What's your gender? *

What is your age group? *

What is your race/ethnicity? *

What is your current employment status? *

Do you know someone who may need our services and will you recommend they contact our agency? *

Please provide any other comments here?

Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform