Customer Satisfaction Survey
Listening to customers has always been important to us. Your feedback will help us better serve people like you!
1.
Did the representative at SCA try to help you by providing information about other services?
Yes
No
Service:
2.
What are your biggest unmet needs? Please check all that apply.
Weatherization/Homeowner Repairs
Housing for Homeless
Affordable/Safe Rental Units
Assistance with delinquent mortgages
Property Tax Assistance
Home Heating Assistance
Managing bills or expenses
Finding employment or a better job
Transportation for employment
Education/Training for employment
Financial Goal Planning
Child Care Assistance
Utility Assistance
Affordable Medical Services
Food/Clothing Assistance
Tax Preparation
Mental Health Referral Service
Senior Support Services
Other (please specify)
3.
Overall, how satisfied are you with Schuylkill Community Action?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
4.
How well does our services meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
5.
Please evaluate our performance in the following areas by checking the appropriate box.
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Customer Service/Communication
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Quality of Program/Services Provided
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Accessibility/Cleanliness of Our Facilities
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Professionalism/Willingness of SCA Representative to Help
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Overall Experience with SCA
Very High Quality
High Quality
Neither High nor Low Quality
Low Quality
Very Low Quality
Other (please specify)
6.
Please check all characteristics below that apply to you.
White
Black/African American
American Indian or Alaska Native
Asian
Multi-racial
Other (please specify)
7.
Are you of Hispanic, Latino, or Spanish origin?
Yes
No
8.
Please check the characteristic below that applies to you.
Age 18-24
Age 25-44
Age 45-64
Age 65+
9.
Please enter all of the characteristics below that apply to you or your immediate family.
Do you or a family member have a Disability? If the answer is YES, please list whether it is a physical/developmental disability, mental disability, or both affecting household members.
Yes
No
Physical/Developmental Disability
Mental Disability
BOTH
10.
Please check the program(s) you were applying for during your visit.
PPL On Track
PPL Operation Help
PPL Security Deposit Waiver
UGI CAP/UGI OP Share
ESG Rapid Re-housing
Mortgage Foreclosure Counseling
Homeowner Repair Rehabilitation
Homebuyer Pre-Closing Workshop
Financial Education Counseling
Emergency Hotel/Motel Voucher
Emergency Food
Weatherization Services
Emergency Rental Assistance Program
Other (please specify)
11.
If you would like to receive SCA updates on our programs and the organization, please provide your email address below.
