General Customer Satisfaction Survey
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1<<Name of Agency>>
Customer Satisfaction Survey
Date Wednesday, August 19, 2015
Please circle a number at the end of each question.
1. The staff managed my phone call(s) in a courteous and
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5
responsible manner.
2. The staff provided me with information and resources
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that I can use.
3. The staff was competent and knowledgeable
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5
4. The staff effectively responded to my questions and
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concerns.
5. I was satisfied with the service hours offered me.
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6. I was satisfied with the accessibility and convenience of
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the agency’s location.
7. The application process was thoroughly explained to
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me.
8. If needed, I would utilize this agency’s services again
and I will recommend this agency to my family and
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friends.
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Parent category: Life