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Please answer the following questions below and click the submit button. Your input is important to us.

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* 1. Agency staff fully explained the program or service(s) which may be available to meet your needs.

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* 2. Agency staff clearly explained the application & eligibility process for the service(s) you required.

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* 3. Agency staff offered referrals, brochures and/or educational materials for other needs you may have possessed.

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* 4. The service(s) you received resolved the problem or crisis you were experiencing and/or improved your family or housing stability.

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* 5. How would you rate the service(s) you received from this agency?

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* 6. Would you recommend this agency and its programs or services to other families or friends in need?

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* 7. Comments, if any? (Optional: Name, address, phone number, email address, service provided):

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