Experiences Survey

Did you or someone you know reach out to 211 Maine and find needed supports or services?

We want to know if the information or referrals you received from 211 Maine were helpful.

Please share your experience with us!

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* 1. Why did you contact 211 Maine?

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* 2. How did you reach out to 211 Maine?

Call

Text

Email

Website

If by Call or Text, how did the Specialist make you feel?

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* 3. Was the information you received from 211 Maine useful?

Yes

No

Other (please specify)

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* 4. Would you recommend 211 Maine to others?

Yes

No

Why?

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* 5. Tell us your story—Begin with why you reached out to 211 Maine. Please be as specific as possible, including whether you were able to connect to a service or improve your situation.

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* 6. Do you give us permission to publish your story as long as no contact details are included?

Yes, and you may use first names when you publish

Yes, but please change all names in the story

No, please do not publish my story

Other (please specify)

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* 7. If you are comfortable, please share the information below:

First Name

Age

City / Town

State

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* 8. How did you hear about 211 Maine?

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* 9. Are you willing to share a photo to go with your story? If so, be sure to complete Item #10 and include your contact information. You will be contacted by a representative of 211 Maine.

Yes

No

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* 10. Please include the information below if you give permission for a 211 Maine representative to follow-up with you:

Name

Phone number

Email address

Preferred time to be contacted

Thank you!