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  5. QuestionPro : Company Satisfaction
0%
Exit Survey
 
 
How long have you been a resident of Piedmont House?
 
Less than 90 days
 
30-60 days
 
90 days
 
90 days with extension
 
 
 
Which of our services do you see being of benefit to you? Select all that apply.
 
Peer Support Group
 
ServSafe Class
 
GED Class & Preparation
 
Community Service Projects
 
Real Dads Program

 
 
 
Have you ever participated in a re-entry transitional program? What program?
 
Never
 
Once
 
2-3 times
 
Name of Program:
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How much do you rate us on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Communication
Professionalism
Quality of services
Understanding Residents' needs
Establishing Goals
Meeting established goals
 
 
Comment:
   
 
 
 
How likely are you to refer Piedmont House to someone else?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How likely is it that you would request re-entry to Piedmont House if in need of our services again?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you have any suggestions for improving our Services?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
Which category describes your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What best describes your employment status as you exit Piedmont House?
 
Employed full-time
 
Employed part-time
 
Self-employed
 
Not employed, but looking for work
 
Prefer not to answer
 
Other
 
 
 
 
Which of the following categories best describes the industry you work in?
 
Automotive
 
Landscaping
 
Food Service
 
Education
 
Entertainment
 
Healthcare
 
Fork Lift Operator
 
Retail
 
Mechanic
 
Other
 
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
Other
 
Prefer not to answer