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How are
we doing
SURVEY?
First name
Relationship to AGL
*
How long have you been connected with AGL?
*
Service Quality:
On a scale of 1 to 5, how satisfied are you with the quality of services provided?
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1 Star - Not Satisfied // 5 Stars - Very Satisfied
Are staff responsive to your needs?
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Yes
No
How would you rate the professionalism and knowledge of our staff?
*
1 Star - Not Satisfied // 5 Stars - Very Satisfied
Communication:
How satisfied are you with AGL’s communication with you?
*
1 Star - Not Satisfied // 5 Stars - Very Satisfied
Do you receive timely updates on changes in services, policies, or scheduling?
*
Yes
No
Not Always
Program Effectiveness:
Do you feel that AGL’s services support independence and community integration effectively?
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Yes
No
Have our programs helped you or your loved one achieve personal goals?
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Yes
No
Overall Experience:
What do you like most about AGL’s services?
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What could we improve?
*
Is there anything else you’d like us to know?
Would you be open to further discussing your feedback with an AGL team member?
Yes
No
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