Service Satisfaction Survey  

Latino Community Association

At the Latino Community Association, we want to improve the experience of our service users and offer satisfactory care and support. With your help and honest opinion, we can do it. Thank you very much for taking this survey!

**The survey is confidential and takes approximately 5 minutes.**

Sign in to Google to save your progress. Learn more
  Date of service   *
MM
/
DD
/
YYYY
What service did you receive at LCA?   *
If you were referred to another organization or external resource, was the connection effective and did they help you?   *
In which office did you receive the service?   *

How would you rate the service provided by the person who helped you?  

 *
Please share a brief description of your experience with the person who helped you.  
How would you rate your overall experience with LCA?   *

Please share a brief description of your experience with LCA in general.

Did the staff treat you with respect and kindness?  

 *
Were the information and help you received clear and easy to understand?   *

Did the staff answer your questions and address your needs adequately?  

 *
How satisfied were you with the waiting time to receive help?   *
Did the service you received help resolve your need or situation?   *

Did you have any difficulty accessing our services due to any of the following? (Check all that apply)  

 *
Required
What did you like most about the service you received?  
After LCA's guidance on how to access a resource or service, how much confidence and information do you feel you have to access similar resources independently in the future?   *
Is there anything you think we could improve?  
How likely are you to recommend LCA to family or friends?   *
How did you hear about LCA?   *
What other services would you like to see at LCA?   *
Required
If you answered "Youth programs" in the previous question, please check the option(s) of interest to you:  
Would you like to receive information about future programs or events?   *
If you answered yes, please leave your phone number or email:  
If you gave us your phone number, can we text you?  
Clear selection

Thank you for helping us continue to strengthen our community. 

Additional comments:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Latino Community Association.

Does this form look suspicious? Report

Google Forms