JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Dial Help Feedback Form
For individuals who have used one of Dial Help's programs or services. All feedback is anonymous, and no names or identifying information will be collected or shared. Feedback may be used on our website, or in quarterly or annual reports.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Which Dial Help program are you leaving feedback for?
*
Your answer
Please share your feedback about your experience with Dial Help
*
Your answer
On a scale of one to ten, how would you rate your experience with Dial Help?
*
Very Poor
1
2
3
4
5
6
7
8
9
10
Excellent
What county do you live in? (We ask this question for funding reasons.)
*
Alger
Baraga
Chippewa
Delta
Dickinson
Gogebic
Houghton
Iron
Keweenaw
Luce
Mackinac
Marquette
Menominee
Ontonagon
Schoolcraft
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dial Help Inc.
Report Abuse
Forms
