Tell Us How We Are Doing

ORGANIZED COMMUNITY ACTION PROGRAM, INC.

Your Evaluation of our performance is very important to us.

Today's Date

Date of Visit

County

Were you greeted in a manner that made you feel comfortable?

Was our staff responsive to your needs?

Were our programs explained to you by our personnel?

Were guidelines and documentation information explained for the program in which you were asking for service?

Were you pleased with the services you received?

If no, please explain.

Did you find the atmosphere comfortable and pleasing?

Did you experience any problems with our personnel or services?

If yes, please explain.

Were the OCAP personnel courteous and efficient?

Did the OCAP personnel appear competent and professional?

Did you find the OCAP facility clean and neat?

If your answer is no, please explain.

How long did you have to wait before you were provided assistance?

If you would need our services again, would you choose to return to OCAP?

If you would not return, 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: Your Name:

Optional: Phone

ORGANIZED COMMUNITY ACTION PROGRAM, INC.

Your Evaluation of our performance is very important to us.

Thank you for your feedback!

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Organized Community Action Program, Inc.

507 North Three Notch Street Troy, AL 36081 Telephone: 334-566-1712