Client END Survey Question Title * 1. What services did you receive from CIS today? Food Clothing Crisis Counseling Information/Referral Other (please specify) Question Title * 2. After receiving services from CIS, do you feel you have more knowledge about community resources that are available to you? Yes No Question Title * 3. After receiving services from CIS, do you feel you know more ways to plan for your safety? Yes No Question Title * 4. What county do you reside in? Appanoose Davis Jasper Jefferson Keokuk Lucas Mahaska Marion Monroe Poweshiek Wapello Wayne Other (please specify) Question Title * 5. Did your self-esteem increase after receiving services from CIS? Yes No Same as before Done