Agency Satisfaction Survey 2016 - 2017

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* 1. Please evaluate our performance in the following areas by checking the appropriate box.

	Poor	Below Average	Average	Good	Excellent
Ease and timeliness of scheduling your appointment	Ease and timeliness of scheduling your appointment Poor	Ease and timeliness of scheduling your appointment Below Average	Ease and timeliness of scheduling your appointment Average	Ease and timeliness of scheduling your appointment Good	Ease and timeliness of scheduling your appointment Excellent
Willingness of SCA representative to help	Willingness of SCA representative to help Poor	Willingness of SCA representative to help Below Average	Willingness of SCA representative to help Average	Willingness of SCA representative to help Good	Willingness of SCA representative to help Excellent
Knowledge of SCA representative about the program	Knowledge of SCA representative about the program Poor	Knowledge of SCA representative about the program Below Average	Knowledge of SCA representative about the program Average	Knowledge of SCA representative about the program Good	Knowledge of SCA representative about the program Excellent
Quality of the program/service provided	Quality of the program/service provided Poor	Quality of the program/service provided Below Average	Quality of the program/service provided Average	Quality of the program/service provided Good	Quality of the program/service provided Excellent
Accessibility and cleanliness of facilities	Accessibility and cleanliness of facilities Poor	Accessibility and cleanliness of facilities Below Average	Accessibility and cleanliness of facilities Average	Accessibility and cleanliness of facilities Good	Accessibility and cleanliness of facilities Excellent
Overall experience with SCA	Overall experience with SCA Poor	Overall experience with SCA Below Average	Overall experience with SCA Average	Overall experience with SCA Good	Overall experience with SCA Excellent

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* 2. Did the representative at SCA try to help you by providing information about other services?

Yes

Other (please specify)

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* 3. Do you have any suggestions for improving the program/services you requested?

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* 4. Are there program/services you wish SCA would provide?

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* 5. Race/Ethnicity?

White

African American

Hispanic

Asian

Other

Other (please specify)

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* 6. Age?

Age 18 to 23

Age 24 to 44

Age 45 to 54

Age 55 to 69

Age 70+

Other (please specify)

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* 7. Disability?

With Physical Disability

With Mental Disability

Other (please specify)

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* 8. Please indicate which program you were applying for during your visit.Which case Manager assisted you?

PPL On Track

PPL Operation Help

PPL Security Deposit Waiver

UGI Customer Assistance

UGI Operation Share

Mortgage Foreclosure Counseling

Reverse Mortgage Counseling

Homeowner Repair

Homebuyer Counseling

Homebuyer Education

Emergency Hotel/Motel Voucher

Bridge House

Work Ready

Weatherization

Emergency Food

Other (please specify)