RCC Community Member Feedback Survey
We would love to have your input on your experiences at our RCC
Please share with us about your experience with us today.
1.
How did you get to the RCC today?
Drove yourself
Public Transportation
Bicycle
Walking
PT-1 Medical Ride
Received a ride from someone
Uber/Cab
Other
2.
How did you hear about the RCC?
Friend
Family
Social Media
Flyer or brochure
Website
Informational presentation about the RCC at a hospital or other facility
Provider told you about us (therapist, doctor, ACCS)
You saw us at a community event in which we hosted a resource table
Other (please specify)
3.
Did you find the support you needed today?
Yes, completely
Yes, somewhat
No, not really
No, not at all
4.
What groups did you find support in today? (Check all that apply)
Wellness groups
Art, music, or other social or creative group
Peer Support
Other (please specify)
5.
Is there anything that hindered you getting the support you needed today?
Yes
No
Please let us know
6.
Will you be coming back to the RCC?
Yes
No
Maybe/Not Sure
7.
If we offered a Zoom in the evening or over the weekend, would you participate?
Evening
Weekend
Both
Neither
What Group (please specify)
8.
Please share any additional comments or suggestions you have for the RCC.
*
9.
What number have you been given for taking the survey?
(Required.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
