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Customer Satisfaction Survey
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Your Name (optional)
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Program Name
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Choose
Athens Head Start
Athens On Demand
Athens Public Transit
Corning Head Start
Employment Programs
Home Energy Assistance Program (HEAP)
Home Relief
Home Repair or Rehabilitation Program
Laurelville Head Start
Logan Head Start
Logan Public Transit
Meals on Wheels
Nelsonville Head Start
New Lexington Head Start
Senior Congregate Dining
Weatherization
Other
If you answered "other," please specify:
Your answer
Thinking about your experience with this HAPCAP service, please rate the following by clicking the number that best represents your thinking.
Ratings are on a scale from 1 to 5, 1 being "very unsatisfied" to 5 being "very satisfied."
Ease of service:
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Driver or Worker Courtesy
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Competence of Driver or Worker
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Cleanliness of products or facility (office, vehicle, food, etc.):
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Treating you with dignity and respect:
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Timeliness of service:
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Quality of service:
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Overall satisfaction with this HAPCAP service:
Very Unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
If very satisfied or unsatisfied with any aspect of the program, can you provide more information?
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Do you have any additional comments?
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Do you have any thoughts on our Web site? (Ease of access, user-friendly, program information, etc.)
Your answer
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