SOCIAL SERVICES RESIDENT INPUT SURVEY

Fill in the information below and click "Send".

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Last name:

First name:

Your apartment community:

Your apartment number:

E-mail address:

How long have you lived in the community:

What do you like best about the social services offered at your community?

What do you least like about the social services offered at your community?

Survey Purpose: To remain accountable to low-income community residents and to the extent practicable, low-income beneficiaries with regard to decisions on the design, social service design, development and delivery/management of affordable housing residents.

SELECT THE NUMBER THAT BEST REPRESENTS YOUR FEELINGS TO EACH QUESTION ACCORDING THE FOLLOWING SCALE:

WITH REGARD TO THE APPEARANCE, DEVELOPMENT, DESIGN AND SITE LAYOUT OF THE SOCIAL SERVICES COMMUNITY CENTER, HOW SATISFIED ARE YOU WITH:

Visual appeal of the community center

Cleaniness of the community center

Exterior lighting of community center

Exterior signage of the community center

Routine maintenance of community center

Comments:

HOW WOULD YOU EVALUATE THE ON-SITE SOCIAL SERVICES COORDINATOR WITH REGARD TO THE FOLLOWING:

Ease of contacting when questions or problems arise

Answers questions/solves problems in a timely manner

Follow-up after problems are reported

Courtesy and respect with which you are treated

Willingness to respond to your needs

Reliability (doing what they say they will do)

Are the policies outlined in the "Self-Monitoring Standards" fairly implemented

Overall level and quality of service that you are receiving

Professionalism of communication in notices, letters, etc.

Comments:

HOW SATISFIED ARE YOU WITH EACH OF THE FOLLOWING SOCIAL SERVICES PROGRAMS OFFERED AT THE COMMUNITY::

After-School Program

Summer Recreational Program

Resident Bingo

Crime Prevention Meetings

Adult Education (GED preparation, ESL, etc.)

Resources to find employment (job search, resume writing skills etc.)

Ability to provide access to local social service agencies

Senior Citizen/Disability Services

Professionalism of communication in notices, letters, etc.

Comments:

PLEASE INDICATE YOUR INTEREST IN IMPLEMENTING THE FOLLOWING PROGRAMS:

After-School Program

Summer Recreational Program

Resident Bingo

Crime Prevention Meetings

Adult Education (GED preparation, ESL, etc.)

Resources to find employment (job search, resume writing skills etc.)

Ability to provide access to local social service agencies

Senior Citizen/Disability Services

Comments:

PLEASE INDICATE HOW MUCH YOU AGREE OR DISAGREE WITH EACH OF THE FOLLOWING STATEMENTS:

Social Services Coordinator is doing all they can to respond to resident needs

The community and its social services have exceeded my expectations

Based on my feelings today, I would continue involvement in Social Services

I would definitely recommend this community to a friend or co-worker

I was impressed by the marketing materials and/or advertising efforts for Social Services

Comments:

HOW WOULD YOU RATE THE QUALITY OF THE COMMUNITY SERVICES AVAILABLE IN RELATIONSHIP WITH THE SITE LOCATION AND DEVELOPMENT:

Groceries

Medical / Dental Care

Child Care

Laundry / Dry Cleaning

Recreation / Parks

Family Planning

Senior Citizen Services

Youth Development

Restaurants

Police Protection

Fire Protection

Garbage Removal

Bus Service

Comments: