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Quality of Experience in Linkage
Please take a moment to answer the following question about your experience with our Linkage team.
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How did you hear about our services?
*
Referral
Walk-in
Advertising
Word of Mouth
Not Sure
Other:
Which GHRC Center did you visit today?
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Bennett Center
Parker Center
Cooper Center
Lyla Center
What service did you come in for?
*
Your answer
Were we able to provide or link you to that service?
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Yes
No
How would you rate your overall experience?
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1
2
3
4
5
Who did you work with?
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Your answer
How would you rate your interaction with the person above?
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1
2
3
4
5
How would you rate your comfort with the person above?
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Very Uncomfortable
1
2
3
4
5
Very Comfortable
How would you rate our level of confidentiality?
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1
2
3
4
5
How likely are you to recommend our services to others?
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Not likely
1
2
3
4
5
Highly Likely
Please provide any additional information about your experience. (optional)
Your answer
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