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Dear Client:

Jewish Family Services of Delaware maintains a high standard of professional practice. We are committed to quality, efficiency and comprehensive services designed to meet the specific needs of the clients we serve.

Toward that end, we ask you to take a few minutes to help us evaluate the specific services you are receiving (or have received) at our agency. With your input, we can best evaluate our work and continue to improve upon the programs we offer to the community.

Sincerely,

The Board of Directors and staff of Jewish Family Services of Delaware

Client Satisfaction Survey
 (All responses are confidential and anonymous.)


Select the service you are receiving now. (Complete a new survey for each service)

Outpatient Mental Health Counseling Services for Older Adults Media Matters/Mentorship
Promoting Safe & Stable Families Brandywine Village Network Émigré Services
     

How long have you been receiving help from JFS?

  Less than 1 month 1-6 month(s) 7-12 month(s) 1-2 year(s) More than 2 years
         
         


Demographics

  Age:

   Under 18 19-29 30-49 50-61 62-74 75+  
               
  Gender:   Male Female Religion:   Jewish Other
           
  Household Income:   Under $16,000 $16,001-42,000 $42,001-54,000 $54,001+
         
  Marital Status:   Married Single Coupled Divorced Widowed Separated Other
             
  Race:   Caucasian People of Color Hispanic Asian Native American Other
             

 

 

      Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
                 
1.  I feel comfortable with the way the staff is
 handling my concerns.
 		    
2.  I feel satisfied with the services I am receiving.

 		      
3.  I am learning how to cope with my problems
 better as a result of the services I am receiving.
 		      
4.  If a friend were in need of help, I would
 recommend JFS
 		      
5.  If I need help with another problem, I will call
 JFS  in the future.
 		      
6.  I find JFS office personnel to be courteous.

 		      
7.  Staff provides service to me in a professional
 manner.
 		      
8.  I feel the staff member and I are working on the
 goals I set.
 		    
9.  I am more aware of services in the community.

 		      
10. JFS helped me access other services in community.

 

    
11.

 I can report an improvement in my health condition
 or my quality of life.

 

    
                 
 
Optional
 

12.

Are you still struggling/having problems?

   Yes No
       
 

 

 

 If you answered yes, please explain
how we can help you.		  
     

13.

 Please write your suggestions as to how we could improve our services.
   
   
   

14.

 Please list any other comments about your JFS experience.
   
   
   

15.

 Name of JFS staff with you whom you worked: 
     

 

 

   
  Please enter the text on the image in the above box.  

Thank you so much for participating in our survey.

 

  

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