Satisfaction Survey Client Satisfaction Survey Age Under 18 18-24 25-34 35-44 45-54 55-64 65+ What gender do you identify as? Check all that apply: Female Male A gender that is not singularly Female or Male Transgender Questioning Race American Indian, Alaska Native, or Indigenous Asian or Asian American Black, African American, or African Native Hawaiian or Pacific Islander White Ethnicity Non-Hispanic/Non-Latin(a)(o)(x) Hispanic/Latin(a)(o)(x) Third Choice How would you rate the following?I was treated with respect Strongly Agree Agree Neutral Disagree Strongly Disagree N/A I was seen for services on time Strongly Agree Agree Neutral Disagree Strongly Disagree N/A I was able to talk with staff when I needed to Strongly Agree Agree Neutral Disagree Strongly Disagree N/A I received services when I needed them Strongly Agree Agree Neutral Disagree Strongly Disagree N/A It was easy for me to get to the office Strongly Agree Agree Neutral Disagree Strongly Disagree N/A If I had a complaint, it was handled well Strongly Agree Agree Neutral Disagree Strongly Disagree N/A The staff helped me find other services that I needed Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Overall, I am satisfied with the services that I received Strongly Agree Agree Neutral Disagree Strongly Disagree N/A How can we improve our services?
