New Hope Services, Inc.
(812) 288-8248

ASFriendsSurvey

Adult Services Community Friends Survey

  • Date:
    Date Format: MM slash DD slash YYYY
  • Name:
  • What is your relationship with New Hope Services, Inc.?
  • Other Relationship
  • Please select a response indicating how satisfied or dissatisfied you are with New Hope Services:
    Very DissatisfiedSomewhat DissatisfiedNeutral/No OpinionSatisfiedVery Satisfied
    Response Time and Communication
    Knowledgeable Staff and Management
    Level of Respect and Professionalism
    Overall Quality of Client Services
  • On a scale of 1 - 10, how likely are you to refer someone to New Hope Services?
    1 - Not Likely At All2345 - Somewhat Likely678910 - Extremely Likely
  • Overall, do you feel that New Hope Services improves the lives of adults with disabilities?
  • Overall, do you feel that New Hope Services increases community integration for adults with disabilities?
  • Overall, do you feel that New Hope Services provides important and necessary services to the community?
  • Please leave us feedback to better explain your responses above:
  • Please let us know if there are any processes, services, or improvements that you feel we could implement to enhance our current quality of care: