How Are We Doing? CCAD
How are we doing survey, 2007-05-16
We would like to hear from you if you would be so kind as to fill out our survey. You can send it electronically or print it and send it to CCAD, 212 S. Weber Ave., Salisbury, MO, 65281, Attn: Bill Pearman
There are 12 questions in this survey.
How are we doing?
What was your role in the service or program?
What was the service provided?
Date of service provided.
Format: YYYY-MM-DD
(eg: 2003-12-25 for Christmas day)
Did the service/program meet your expectations?
Yes
No
No answer
Did the service/program meet your expectations? (comments)
Was the staff professional and courteous?
Yes
No
No answer
Was the staff professional and courteous? (comments)
Would you recommend this service or program?
Yes
No
No answer
Would you recommend this service or program? (comments)
How can this service or program be improved?
What other services/programs would you like to have offered?
Is there an employee or staff member deserving of special recognition?
[Exit and Clear Survey]