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Consumer Survey

Integrated Services Consumer Satisfaction Survey

The purpose of the survey is to assist with the continued improvement of service offered by Integrated Services of Appalachian Ohio. Please answer the following questions by checking the appropriate response. Your response will remain anonymous, or you may choose to identify yourself.

* Indicates required field.

Services were beneficial to me.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

My service provider was professional, courteous and respectful.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

My service provider was helpful.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I was satisfied with the services I received.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I was comfortable with the service provider assigned to me.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

My service provider listened to my needs.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I met with my service provider in accessible and convenient locations.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

My service provider had my best interests at heart.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I would ask for Integrated Services again, if given a chance.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I would recommend Integrated Services of Appalachian Ohio to others.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I would be interested in attending a consumer feedback meeting where I could voice my opinions, praises, complaints, and/or training needs to staff at Integrated Services.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

If you would like to provide any additional comments to the Integrated Services staff, please do so in the space below.


All capital letters please.

If interested, please include your name, email address, and/or telephone number below, otherwise your submission will be anonymous.