Skip to content
Cobb County Community Services Block Grant - Client Survey
Client Survey to Evaluate Services
1.
What is your zip code
2.
What city do you live in?
Marietta
Kennesaw
Acworth
Powder Springs
Smyrna
Unincorporated Cobb County
Other (please specify)
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)
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?
No opinion
Poor
Fair
Good
Excellent
Did staff do what they said they would do?
No opinion
Poor
Fair
Good
Excellent
Did staff assist you in a timely manner?
No opinion
Poor
Fair
Good
Excellent
How was your overall service experience?
No opinion
Poor
Fair
Good
Excellent
5.
Are there other types of assistance or services which you are seeking that the agency did not provide?
Yes
No
6.
If yes, please describe what the assistance or services are in the space below:
7.
Do you have any recommendations to improve how clients are served?