Community Action Agency of Northwest Alabama Community Survey
YOUR OPINION MATTERS! Please take a few minutes to fill out this survey. We are capturing this information so we can help change peoples lives, improve our communities, and help make America a better place to live.
What county do you live in? *
Where do you typically learn about resources, programs, or services available? *
Below is a list of community needs and of this list which one concerns you the most in your community? *
Below is a list of the same community needs as above and of this list please choose your second community concern. *
Below is a list of the same community needs as above and of this list please choose your third community concern. *
Do you see a community need that is not listed in the previous question? *
Your answer
Now choose one from the list that concerns you most with your family only. *
Now choose your second family concern from the list. *
Now choose your third family concern from the list. *
Do you have a family need that is not listed in the previous question? *
Your answer
What is your age? *
What is your gender? *
What is your race? *
What best describes your ethnicity? *
Are you a veteran or currently active in the military? *
How many adults, counting yourself live in your household? *
What is your employment status? *
What was your household yearly income? *
Do you have health insurance? *
What is your highest level of education completed? *
How many children live in your household? (Birth - 17 yrs of age) *
Which of the following most represents you or your affiliation in your community? *
Have you ever been a consumer of Community Action Services? *
If you have answered NO then stop and scroll to the end of the survey and submit. If you answered YES then please continue to the next question.
What program(s) or assistance did you receive from Community Action?
Was staff courteous?
Was staff understanding of your need?
Was service provided in a timely manner?
How responsive have we been to your needs?
How likely is it that you would recommend our agency to a friend?
1 as unlikely > 10 as highly likely
Overall, how satisfied or dissatisfied are you with our agency?
How would you rate the quality of the service?
Please share additional comments about our staff and/or services:
Your answer
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