KIPDA strives to ensure that we are providing quality resources and assistance to the community.  We want your input about your experience with the Aging & Disability Resource Center (ADRC).  Thank you!

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* 1. What is your age?

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* 2. What is your gender?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. How did you first hear about the Aging & Disability Resource Center?

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* 5. How long did you wait to have a call back from an ADRC specialist?

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* 6. What was the main reason you contacted the ADRC?

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* 7. Do you feel the ADRC Specialist you spoke with...

  No, I don't think so I'm not sure, I still have questions Yes, I think so
Listened carefully to what you wanted?
Understood what you wanted?
Explained things to you in a way that you can understand?
Was knowledgeable about the services and information you asked about?
Was courteous and respectful?

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* 8. Overall

  No, I don't think so I'm not sure, I still have questions Yes, I think so
Was the information you received clear?
Was the information you received helpful?
Would you call the KIPDA ADRC again in the future?

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* 9. Would you like to thank a specific employee or provide positive feedback about your experience?

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