CLIENT FEEDBACK | Alli4life Site

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ALLIANCE FOR LIFE

LINKING INDIVIDUALS FOR EXCELLENCE

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ALLIANCE FOR LIFE PROGRAM-CLIENT SATISFACTION SURVEY

First Name

Last Name

Email

Phone

How would you rate your experience with Alliance for LIFE?

Excellent

Satisfied

Fair

Unsatisfied

List staff member assigned to your current case.

Do you find the overall service/programs of Alliance For LIFE helpful?

I and/or my child have been treated with dignity and respect when using services from Alliance For LIFE?

Would you recommend us to your friends?

Yes

No

Was Alliance For LIFE staff accessible when you requested help or were in need of services?PoorFairGoodVery goodExcellent Was Alliance For LIFE staff accessible when you requested help or were in need of services?

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