1: Agency Name

2: Your Name

3: Over the past 12 months, how many times have you interacted with GRO staff?

4: GRO staff responded promptly to my request for service.

5: Overall, GRO staff was helpful, professional and courteous.

6: I received timely upates on the status of referrals made to GRO.

7: I am satisfied with my work relationship with GRO.

8: I would refer other service providers and consumers to GRO.

9: I consider GRO to be a valuable community resource.

10: GRO services are easily accessible.

11: Briefly describe the services GRO provided you.

12: Please Provide any other comments and sugestions for improvement.