Energy Assistance Program Feedback Question Title * 1. How satisfied are you with the timeliness of our application processing? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 2. Did we call you at your scheduled appointment time? Yes No Question Title * 3. How well were your questions answered during your interaction? Very Well Well Neutral Poorly Very Poorly Question Title * 4. Did you feel respected during your interaction with our staff? Yes No Question Title * 5. Do you have any additional comments or suggestions? Question Title * 6. How did you hear about our energy assistance program? Select all that apply. Social Media Friend/Family Community Event Online Search Flyer/Brochure Other Question Title * 7. Please provide your name (optional): Question Title * 8. Please provide your email (optional): Question Title * 9. Please provide your telephone number (optional): Question Title * 10. What agency did you work with? Community Advocates Umos ESI Done