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Satisfaction Survey @ High Hope | High Hope Employment Services, Inc. | Milan, MO | Supported Employment Services for People with Disabilities

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Satisfaction Survey

How are we doing? How can we help?

Please rate the following questions:

1. I am satisfied with the overall services provided?

Very Satisfied
Somewhat Satisfied
Satisfied
Somewhat Dissatisfied
Dissatisfied
No Opinion

2. I am satisfied with the job I obtained?

Very Satisfied
Somewhat Satisfied
Satisfied
Somewhat Dissatisfied
Dissatisfied
No Opinion

3. I am satisfied with the support and instruction given to me?

Very Satisfied
Somewhat Satisfied
Satisfied
Somewhat Dissatisfied
Dissatisfied
No Opinion

4. I was able to participate in planning my employment goals?

Very Satisfied
Somewhat Satisfied
Satisfied
Somewhat Dissatisfied
Dissatisfied
No Opinion

5. I am satisfied with the way my employment specialist treats me?

Very Satisfied
Somewhat Satisfied
Satisfied
Somewhat Dissatisfied
Dissatisfied
No Opinion

6. Are there any additional needs in which we can assist you?

Yes
No

If yes, please explain:

Name: Phone: