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 shared on our website, or in quarterly or annual reports.
Please share your feedback about your experience with Dial Help, including the program or class name (if you know it). *
Your answer
On a scale of one to ten, how would you rate your experience with Dial Help? *
Very Poor
What county do you live in? (We ask this question for funding reasons.) *
Never submit passwords through Google Forms.
This form was created inside of Dial Help Inc.