Customer Survey: Customer Survey

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COMMUNITY ACTION COUNCIL HOWARD COUNTY, MD, INC.

CLIENT SURVEY

Please tell us what you think and help improve our services

Name of Client (optional)

Home Address (optional)

Zip Code:

Phone Numbers (optional)

E-mail Address (optional)

Date(s) of Service (optional)

Type of Service Received (check applicable ones)

Head Start
Food Bank
Tax Assistance
Energy Assistance
Housing Assistance
North Laurel-Savage Multiservice Center

Other (please specify)

Name of individual(s) who helped you (CAC staff members are listed under About Us on this website).

How would you rate the overall service CAC provided you?

Comments

Would you recommend CAC to others:

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