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Aging and Disability Resource Center (ADRC) Customer Survey
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Check all that apply
I spoke to the ADRC for myself
I spoke to the ADRC for someone else
If helping someone else, I am a:
Family member
Friend
Service Provider
I spoke to someone at this ADRC:
Municipality of Anchorage ADRC
Southeast Alaska Independent Living (SAIL) Juneau
SAIL Haines
SAIL Ketchikan
SAIL Sitka
Independent Living Center (ILC) Homer
ILC Soldotna
ILC Kodiak
ILC Seward
LINKS Wasilla
Dillingham ADRC
ADRC North, Fairbanks Senior Center
My age is
18 - 39
40 - 59
60 - 79
80 plus
Clear selection
I came to the ADRC for information about: (check all that apply)
Medicare/Medicaid/Social Security
Housing
PCI/Waiver
Application Assistance
In Home Supports
Transportation
Basic Needs
Utility Assistance
Veterans programs
Medical Equipment
Other:
I received the information I requested.
Yes
No
Clear selection
I received information about other community resources.
Yes
No
Clear selection
I received clear information that I could understand.
Yes
No
Clear selection
Staff treated me with dignity and respect.
Yes
No
Clear selection
I would recommend the ADRC to family, friends and/or community members.
Yes
No
Clear selection
I am satisfied with the help I received from the ADRC.
Yes
No
Clear selection
What do you like about the ADRC?
Your answer
What could be better about the ADRC?
Your answer
Thank you for completing our survey!
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