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2. 
4. Office of Community Connections Feedback Form
6. Please let us know how we're doing by answering a few questions about how we served you.
8. Providing is your name is optional.
10. First Name
11. Last Name
13. COMMUNITY
15. How did you hear about Community Connections?
    -- Select One --Agency/ProviderOnline SearchBrochure/FlyerSocial MediaCommunity EventFamily/Friend
17. If YES, please list agency:
19. Did the Navicate need to reach out/advocate on your behalf to an agency/provider?
    -- Select One --YesNo
21. If YES, did this help you access a resource/service? Why/why not?
23. INCLUSIVE
25. Did you feel that you were treated with respect, compassion, and without judgement?
    -- Select One --YesNo
27. Did staff take the time to listen to you before offering information?
    -- Select One --YesNo
29. Did you receive resources and/or referrals regarding your initial reason for contacting a Navicate?
    -- Select One --YesNo
31. Did staff inquire if you had additional needs or offer you other resources?
    -- Select One --YesNo
33. RESPONSIVE
35. If you didn't immediately speak with a Community Connections Navicate (submitted an online referral/left a message), was your message returned within 24 business hours?
    -- Select One --YesNo
37. If NO, how long did it take for your phone call to be returned?
39. Was the information/resources you received helpful in resolving your needs?
    -- Select One --YesNo
41. If NO, why not?
43. EXCELLENCE
45. Were your needs resolved within one call/contact?
    -- Select One --YesNo
47. Would you refer a family member/friend to Community Connections?
    -- Select One --YesNo
49. If NO, why not?
51. Did the Navicate go above and beyond your expectations?
    -- Select One --YesNo
53. Do you have any additional feedback that you’d like to add about your experience with Community Connections?
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