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.
Which Dial Help program are you leaving feedback for? *
Please share your feedback about your experience with Dial Help *
On a scale of one to ten, how would you rate your experience with Dial Help? *
Very Poor
Excellent
What county do you live in? (We ask this question for funding reasons.) *
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