Stakeholder Survey

SATISFACTION SURVEY FOR EAST COAST SOLUTIONS STAKEHOLDERS

Name of Organization/Agency(Optional):

County:

I am:

Very familiar with and have regular contact with East Coast Solutions.

Familiar with one or more specific services but not familiar with the organization as a whole.

Unfamiliar and have little contact with the organization or knowledge of services.

Primary relationship to East Coast Solutions (check only one):

County/State Organization	Community Stakeholder/Funder
Referral Source	Family of Person Served by East Coast Solutions
Volunteer Organization	Other

Questions:	Strongly Agree	Agree	Neutral/ Unsure	Disagree	Strongly Disagree
Facilities are clean and well maintained.
Services are conveniently located.
Agency does not discriminate in the provision of its services.
Information about services and eligibility criteria are made available to the community.
Agency provides culturally sensitive services.
Agency respects the confidentiality of the persons it serves.
Agency is known for its integrity and ethical practices.
I am aware of opportunities to help improve services.
Agency conducts public education programs to make its presence known in the community.
Agency works with other community organizations to advocate on behalf of the people it serves.
Applicants and persons referred for services are promptly screened.
Waiting periods for services are reasonable.
Hours of operation serve the needs of persons served.
Fees are reasonable and fair.
Agency is fiscally responsible.
Agency’s governing body is broadly representative of the community it serves.
Personnel are qualified and competent in the performance of their jobs.
Agency is in compliance with applicable laws and regulations.
Staff are respectful and knowledgeable in their interactions with our organization/agency.

Comments: