Chance 4 Change, Inc.
Family/Consumer/Support Team Survey 2010
- Please use the five ratings ranging from Always to Never to indicate your level of satisfaction, need, experience, etc.
- Please circle only one answer for each question. Questions with more than one answer circled cannot be included in the survey results.
- If a section does not apply to your family or consumer, skip to the next section. If a question within a section does not apply to your family or consumer, circle N/A (not applicable).
- If you have any questions on this survey, or need any additional information before beginning, please contact: Jill Powell at email@example.com or call (916) 870-9590.
- Please note that there are questions on both sides of each page.
- Please use the space provided on the last page of this survey to share comments.
- All survey responses are confidential.
- This survey should take approximately 15 minutes to complete.