Customer Satisfaction Survey

Program:

Food Stamps (SNAP)

Homeless to Work

Older Worker

REA

Unemployment Compensation

Veterans

Wagner Peyser

Welfare Transition Program

WIA

Youth Program

Activity:
Assessment
Job Search
Orientation
Staff Appointment
Other:

The staff who assisted me was knowledgeable.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

The staff who assisted me was professional.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

I am satisfied with the service I received.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

I received service in a timely manner.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

The service I received was helpful.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

I am likely to recommend these services to others.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Comments or suggestions:

Optional:

If you are in need of assistance and would like to be contacted by a supervisor, please leave your contact information below. Your name will not be shared with the staff member you have evaluated.

Name:

Email:

Phone:

Customer Satisfaction Survey: Gainesville

Optional: