Satisfaction Survey

First, are you a

Please select from the options

If you chose 'Other' above, please describe

What date and time was your most recent interaction?

Time

Was it by?

How did you last connect with us?

If in person or by phone, at what location?

If you chose 'Other' above, please describe

Overall, how satisfied were you with the reception you received?

How satisfied were you with how the staff treated you (and your request)?

If your visit was in person, how satisfied were you with the site and surroundings including décor, cleanliness and functionality?

Thinking over all your interactions with CFLC over the past 6 months, how satisfied are you across all interactions?

What do you feel are two of CFLC's greatest strengths?

What two suggestions do you have for improving CFLC?

If you knew of someone who might benefit from the kinds of services that CFLC provides, how likely would you be to refer them to CFLC?

And if you were to refer someone to CFLC for services, which method would you most likely use? SELECT AS MANY AS APPLY

Tell them about a particular staff member

Provide the phone number

Provide the email or web address

Other

If you chose 'Other' above, please describe

Optional: If You Would Like Someone To Follow Up With You On Any Of These Issues, Please Provide Your Name And Contact Information

Email Address

Name

Best time to call

Phone

Issue to contact me about is

Submit

CALIFORNIA FAMILY LIFE CENTER