CAP Customer Service Survey

Question Title

* 1. What services did you receive at CAP?

Energy Assistance

Rental Assistance (rental help without case management)

Senior Nutrition

CAPtured Treasures

Housing Supports (case management with rental help)

HELP Warehouse Services (commodities, diapers, personal hygiene)

Weatherization

Grounds for Opportunity (GFO)

Career & Family Development

Transportation

Self-Help Housing Rehab

Other (please specify)

Question Title

* 2. I am satisfied with the services I received from CAP.

Strongly Disagree

Neutral

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. (OPTIONAL)

Please share why you were or were not satisfied with the CAP services you received.

Question Title

* 4. My needs and preferences were heard and I felt respected by CAP staff.

Strongly Disagree

Neutral

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. The location, times, and ways to access CAP services are convenient.

Strongly Disagree

Neutral

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. (OPTIONAL)

Do you have any suggestions to improve CAP services?

Question Title

* 7. (OPTIONAL)

What has been the most helpful thing about the services you received at CAP?

Question Title

* 8. (OPTIONAL)

If you would like follow up from a CAP manager about your service, please fill out the form below.

Name

Email Address

Phone Number

CAP Customer Service Survey

Question Title

* 1. What services did you receive at CAP?

Question Title

* 2. I am satisfied with the services I received from CAP.

Question Title

* 3. (OPTIONAL)Please share why you were or were not satisfied with the CAP services you received.

Question Title

* 4. My needs and preferences were heard and I felt respected by CAP staff.

Question Title

* 5. The location, times, and ways to access CAP services are convenient.

Question Title

* 6. (OPTIONAL) Do you have any suggestions to improve CAP services?

Question Title

* 7. (OPTIONAL)What has been the most helpful thing about the services you received at CAP?

Question Title

* 8. (OPTIONAL) If you would like follow up from a CAP manager about your service, please fill out the form below.

* 3. (OPTIONAL)

Please share why you were or were not satisfied with the CAP services you received.

* 6. (OPTIONAL)

Do you have any suggestions to improve CAP services?

* 7. (OPTIONAL)

What has been the most helpful thing about the services you received at CAP?

* 8. (OPTIONAL)

If you would like follow up from a CAP manager about your service, please fill out the form below.