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Exit Survey
 
 
Thank you for giving us the opportunity to serve you better. Please help us by taking a few minutes to tell us about the service that you have received so far. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. Thank you very much for your time and support.
 
 
 
The Customer Service Represenative handled my call quickly.
 
Strongly agree
 
Somewhat agree
 
Neutral
 
Somewhat disagree
 
Strongly disagree

 
 
 
Describe how satified you are with the services you received from our agency?
 
Poor
 
Fair
 
Average
 
Good
 
Excellent

 
 
 
Did the staff do what they said the would do?
 
Poor
 
Fair
 
Average
 
Good
 
Excellent

 
 
 
Did the Staff assist you in a timely manner?
 
Poor
 
Fair
 
Average
 
Good
 
Excellent

 
 
 
How was your overall experience?
 
Poor
 
Fair
 
Average
 
Good
 
Excellent

 
 
 
How likely are you to use this agency again?
 
Very likely
 
Probably
 
Maybe
 
Probably not
 
Definitely not

 
 
 
Would you recommend this agency to others?
 
Definitely
 
Probably
 
Maybe
 
Probably not
 
Definitely not

 
 
 
Do you think this agency is good for the community?
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree

 
 
 
How long have you been a client of this agency?
 
less than 6 months
 
6 months to a year
 
1 to 2 years
 
2 years or more