Satisfaction Survey

 

Thank you for utilizing the services of the Catskill Center for Independence. It is our pleasure to provide you with whatever assistance we can as you or your family strive to become more independent

It is important for us to know how effectively we are meeting the needs of the people we serve and to know how we can better serve you. With that purpose in mind, we ask that you provide us with some feedback about your experiences with us.

Thanks for your help!


1. The staff I met with were friendly and polite.

Yes No

2. The staff treated me with respect and courtesy.

Yes No

3. The staff helped me understand my choices and options.

Yes No

4. The staff encouraged me to make my own decisions.

Yes No

5. If the staff were unable to provide me with the services I
needed, they referred me to someone who could.

Yes No

6. I am happy with the assistance I received.

Yes No

7. I would recommend the Center to a friend.

Yes No

Please provide any additional comments you think would help us to improve our services.

Optional

Please provide your name, address and telephone number below:

NAME:
ADDRESS:
TELEPHONE #: