Cobb County Community Services Block Grant - Client Survey Client Survey to Evaluate Services Question Title * 1. What is your zip code Question Title * 2. What city do you live in? Marietta Kennesaw Acworth Powder Springs Smyrna Unincorporated Cobb County Other (please specify) Question Title * 3. Please check service(s) received from agency: Case Management Education Related Assistance Employment Related Assistance Food Other Emergency Assistance Referral Rent Assistance Utility Assistance Weatherization Other (please specify) Question Title * 4. Describe how satisfied you are with the services you received from the agency by check the rating with best describes your experience. No opinion Poor Fair Good Excellent How did staff treat you? How did staff treat you? No opinion How did staff treat you? Poor How did staff treat you? Fair How did staff treat you? Good How did staff treat you? Excellent Did staff do what they said they would do? Did staff do what they said they would do? No opinion Did staff do what they said they would do? Poor Did staff do what they said they would do? Fair Did staff do what they said they would do? Good Did staff do what they said they would do? Excellent Did staff assist you in a timely manner? Did staff assist you in a timely manner? No opinion Did staff assist you in a timely manner? Poor Did staff assist you in a timely manner? Fair Did staff assist you in a timely manner? Good Did staff assist you in a timely manner? Excellent How was your overall service experience? How was your overall service experience? No opinion How was your overall service experience? Poor How was your overall service experience? Fair How was your overall service experience? Good How was your overall service experience? Excellent Question Title * 5. Are there other types of assistance or services which you are seeking that the agency did not provide? Yes No Question Title * 6. If yes, please describe what the assistance or services are in the space below: Question Title * 7. Do you have any recommendations to improve how clients are served? Done