INCA Customer Satisfaction Survey
Please answer each question to the best of your ability. Your feedback is greatly appreciated!
In which county do you live? *
What was the purpose for your visit? Select all that apply.
How did you learn about INCA? Select all that apply.
Please choose the answer for each that best describes your experience:
Strongly Agree
Agree
Disagree
Strongly Disagree
Does not apply
The office was easy to find and convenient
When I entered the building, I felt welcome
The office was clean
I was served in a timely manner
Staff was courteous, respectful, friendly, and helpful
Staff was understanding and thoughtful towards me and what I needed
My need or reason for today's visit was met
Staff told me about additional agency services that might be helpful to me
INCA was unable to meet my need(s), but I was referred to others who could help
Staff offered information about other services available
I would recommend INCA to friends and family
INCA helps improve the condition in which low-income people live.
Did you have any barriers in accessing services?
How did INCA's services affect your family?
Have you visited INCA's website (www.incacaa.org)
Did you find the website easy to you?
Overall how would you rate the service you received?
Poor
Outstanding
Comment on rating (optional)
Your answer
Would you be interested in sharing your story?
If you are interested in sharing your story, please provide contact information. (Name & Phone/Email)
Your answer
Do you have any suggestions on how we could improve the services we provided to you?
Your answer
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