Client Satisfaction Survey Please help us understand how to improve the quality of our services by completing the survey below. Thank you for your feedback! 1. Which of the following Action Inc. services have you used? Advocacy (i.e., help with benefits) QUEST Emergency Shelter Housing First COMPASS Adult Education CDL/Trades Gateway Program Fuel Assistance Weatherization Rental/Mortgage Assistance Cape Ann Emergency Relief Fund Project Uplift/Cape Ann Kids Toy Drive Financial Education & Coaching Other Advocacy (i.e., help with benefits)GreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffQUESTGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffEmergency ShelterGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffHousing FirstGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffCOMPASSGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffAdult EducationGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffCDL/Trades Gateway ProgramGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffFuel AssistanceGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffWeatherizationGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffRental/Mortgage AssistanceGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffCape Ann Emergency Relief FundGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffProject Uplift/Cape Ann Kids Toy DriveGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffFinancial Education & CoachingGreatGoodFairPoorHelpfulness of ProgramHelpfulness of StaffPlease specify "OTHER" services received: Please rate "OTHER" program mentioned above:GreatGoodFairPoorHelpfulness of ProgramHelpfulness of Staff2. What did Action Inc. do that helped you and/or your family?3. Respond to this statement:Since receiving services from Action Inc., my family is better off. Strongly agree Somewhat agree Neutral Disagree Strongly disagree Please explain:4. Overall, how do you rate the quality of Action Inc.'s services? Great Good Fair Poor Unacceptable Please explain:5. What can Action Inc. do to improve our services?6. Did Action Inc.'s staff refer you to other service providers or organizations? Yes No Was this referral helpful to you? Very helpful Somewhat helpful Neutral Not helpful Please explain: 7. How did you learn about Action Inc.? Family or friend Newspaper Facebook/website Word of mouth Other Other: Contact InformationName (Optional) Phone Number (Optional) E-Mail (Optional) Would you like to share your story to help us spread the word about our services? Yes No
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