We believe it is important to get your input on the quality of the services you received. Please tell us how we did so that we can serve you and others better in the future. Please answer all questions on this survey.
COUNSELING AGENCY:   H.E.L.P. Community Development Corp.

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* HOUSING ADVISOR NAME:

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* Date of Service or First Appointment

Date

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* Today's Date

Date
Counseling Services Received
Please indicate the counseling or education service you received.

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* Which counseling service did you receive?

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* If you want further counseling, will you go back to the same agency?

Quality of Services Received
Please rate the quality of the services provided from 1 (very poor) to 5 (excellent).
If a question is not applicable or you do not wish to respond to that question, check the box NA.

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* Did we provide clear instructions?

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* How well did the Housing Advisor explain the counseling process, the available programs, and potential impacts at the outset?

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* How well did the Housing Advisor communicate the analysis of your financial situation?

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* How would you rate the knowledge and expertise of the Housing Advisor?

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* How well did the Housing Advisor listen to your needs and seek to understand your situation?

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* How would you rate the Housing Advisor's professionalism, courtesy, and responsiveness?

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* How would you rate the information on available housing resources provided to you during the session(s)?

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* How well did the counseling meet the specific needs that you came in with?

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* How would you rate the budget or other action plan that was developed during the session(s)? (Please rate as “1” if no budget or plan was developed.)

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* How would you rate the overall quality of the housing counseling process and services received?

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