Customer Satisfaction Form

Customer satisfaction form

How are we doing? RCAC depends on your feedback to maintain and improve service quality. Your comments are important to us, and your opinion counts. If you have received technical assistance or other services from RCAC, please complete this evaluation form.

Your information (optional)
Your Name
Your Organization
Information about your experience with RCAC:
Date(s) of Activity*
Event Location*
RCAC Staff Person
Briefly describe the nature and content of the technical assistance, training or other service that you received:
How useful was the time you spent with RCAC staff?
- Very useful, send him/her back soon!
- Mostly useful, I benefitted from the time spent.
- Somewhat useful, I could take it or leave it.
- Not useful, must bring food if you want to come back.
How was the assistance or training useful ...
... to you?
... to your agency?
...to the overall program/project as a means of serving low-income families?
What assistance or training do you feel you need next?
May I share your specific comments with the RCAC staff person that provided your technical assistance or training?*
- Yes
- No
- Yes, but please contact me first
Phone
Email
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Customer satisfaction form

Your information (optional)

Information about your experience with RCAC:

How was the assistance or training useful ...