Your evaluation of our performance is very important to us.

At our centers, we strive to improve the services for our customers.  Because our success is measured by your evaluation of our performance - your thoughts are extremely valuable.  Your evaluation will provide the tools in which we build our quality service facilities.  the evaluation also helps us recognize our employees who made your visit comfortable and pleasant.  We hope you are satisfied with the services your received at the Organized Community Action Program.

 

Today's Date:   Date of Visit:   County: 
Were you greeted in a manner that made you feel comfortable? Excellent  Good  Fair  Poor
Was our staff responsive to your needs? Excellent  Good  Fair  Poor
Were our programs explained to you by our personnel? Excellent  Good  Fair  Poor
Were guidelines and documentation information explained for the program in which you were asking for service?     Yes  No
What types of service(s) did you receive?  
Were you pleased with the services you received? Yes  No
If no, please explain.  
Did you find the atmosphere comfortable and pleasing? Excellent  Good  Fair  Poor
Did you experience any problems with our personnel or services? Yes  No
If yes, please explain.  
Were the OCAP personnel courteous and efficient? Excellent  Good  Fair  Poor
Did the OCAP personnel appear competent and professional? Excellent  Good  Fair  Poor
Did you find the OCAP facility clean and neat? Yes  No
If no, please explain.  
How long did you have to wait before you were provided assistance?
  0-5 Minutes  
  6-10 Minutes
  11-15 Minutes
  Over 15 minutes
If you would need our services again, would you choose to return to OCAP? Yes  No
If no, please explain.  
Is there anything you feel we could have done to make your visit with our agency more comfortable?  Any suggestions for ways to improve the center and our services?
Optional:
Name: Phone:  (Example: xxx-xxx-xxxx)