Client Satisfaction Survey

Please take a moment to fill out this survey about your experience with Community Action Coalition for South Central Wisconsin. Answers are recorded anonymously.

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Answer the following questions about where you live:

1. County:Dane CountyJefferson CountyWaukesha County

2. Zip Code:

Answer the following questions about your experience with Community Action Coalition for South Central Wisconsin, Inc. (CAC):

3. How much do you agree or disagree with the following statements?

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Prefer Not To Answer/Does Not Apply To Me
A. I was treated with respect.	Strongly AgreeA. I was treated with respect. Strongly Agree	AgreeA. I was treated with respect. Agree	NeutralA. I was treated with respect. Neutral	DisagreeA. I was treated with respect. Disagree	Strongly DisagreeA. I was treated with respect. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeA. I was treated with respect. Prefer Not To Answer/Does Not Apply To Me
B. I was helped in a clear and timely manner.	Strongly AgreeB. I was helped in a clear and timely manner. Strongly Agree	AgreeB. I was helped in a clear and timely manner. Agree	NeutralB. I was helped in a clear and timely manner. Neutral	DisagreeB. I was helped in a clear and timely manner. Disagree	Strongly DisagreeB. I was helped in a clear and timely manner. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeB. I was helped in a clear and timely manner. Prefer Not To Answer/Does Not Apply To Me
C. I got the information/services I needed.	Strongly AgreeC. I got the information/services I needed. Strongly Agree	AgreeC. I got the information/services I needed. Agree	NeutralC. I got the information/services I needed. Neutral	DisagreeC. I got the information/services I needed. Disagree	Strongly DisagreeC. I got the information/services I needed. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeC. I got the information/services I needed. Prefer Not To Answer/Does Not Apply To Me
D. I was informed about other CAC or community services.	Strongly AgreeD. I was informed about other CAC or community services. Strongly Agree	AgreeD. I was informed about other CAC or community services. Agree	NeutralD. I was informed about other CAC or community services. Neutral	DisagreeD. I was informed about other CAC or community services. Disagree	Strongly DisagreeD. I was informed about other CAC or community services. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeD. I was informed about other CAC or community services. Prefer Not To Answer/Does Not Apply To Me
E. I felt welcome when I was at CAC's office location.	Strongly AgreeE. I felt welcome when I was at CAC's office location. Strongly Agree	AgreeE. I felt welcome when I was at CAC's office location. Agree	NeutralE. I felt welcome when I was at CAC's office location. Neutral	DisagreeE. I felt welcome when I was at CAC's office location. Disagree	Strongly DisagreeE. I felt welcome when I was at CAC's office location. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeE. I felt welcome when I was at CAC's office location. Prefer Not To Answer/Does Not Apply To Me
F. I am satisfied with my overall experience with CAC.	Strongly AgreeF. I am satisfied with my overall experience with CAC. Strongly Agree	AgreeF. I am satisfied with my overall experience with CAC. Agree	NeutralF. I am satisfied with my overall experience with CAC. Neutral	DisagreeF. I am satisfied with my overall experience with CAC. Disagree	Strongly DisagreeF. I am satisfied with my overall experience with CAC. Strongly Disagree	Prefer Not To Answer/Does Not Apply To MeF. I am satisfied with my overall experience with CAC. Prefer Not To Answer/Does Not Apply To Me

4. Which CAC services did you receive or connect with? Please select all that apply:

• Intake, Resources, or Referral
• Case Management
• Rental/Mortgage Assistance
• Utility Assistance
• Housing Search Assistance
• Budgeting/Finance Courses
• Veteran Services
• Youth Services
• Employment Services
• Food Services
• Double Dollars
• COVID Recovery Programs
• Mental Health Training
• Clothing Assistance or Winter Glow
• Eviction Prevention or Landlord Mediation
• Temporary or Emergency Shelter (including Hotel/Motel Stay)
• Substance Use Treatment Placements or Recovery Vouchers
• Unsure
• Prefer not to answer
• Other

4b. In Question 4, you selected Other. Which CAC service did you receive or connect with?

5. What recommendations or feedback do you have about how CAC serves you or your community?

6. Is there anything else you would like to share?

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