Client Satisfaction Survey Question Title * 1. What services brought you to the agency? OK Question Title * 2. Overall, how satisfied or dissatisfied are you with First State Community Action Agency? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 3. Which of the following words would you use to describe our services? (Check all that apply) Reliable High quality Useful Unique Good value for money Impractical Ineffective Poor quality Unreliable Other (please specify) OK Question Title * 4. How well do our services meet your needs? Extremely well Very well Somewhat well Not so well Not well at all OK Question Title * 5. How would you rate the quality of our services? Very high quality High quality Neither high nor low quality Low quality Very low quality OK Question Title * 6. How responsive have we been to your questions or concerns about our services? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 7. How likely are you to request any of our services again? Extremely likely Very likely Somewhat likely Not so likely Not at all likely OK Question Title * 8. How important do the employees at First State Community Action Agency make you feel? Extremely important Very important Moderately important Slightly important Not at all important OK Question Title * 9. How politely did our representative treat you? Extremely politely Very politely Moderately politely Slightly politely Not at all politely OK Question Title * 10. Do you have any other comments, questions, or concerns? OK Question Title * 11. Please provide your zip code: OK DONE