How are
We Doing?

Name

First Name

Last Name

Staff *

The way staff treated you?

1

2

3

4

Involvement *

The amount of involvement and input in setting goals and planning your services?

1

2

3

4

Contact *

The amount of contact from Empac Employment Resources during services.?

1

2

3

4

Respect *

Staff respect for your way of life such as (culture, gender, religious beliefs, etc.)

1

2

3

4

Program *

How the program met your individual needs.

1

2

3

4

Accessibility *

The accessibility of the building and meeting places?

1

2

3

4

Results *

The results of the services?

1

2

3

4

Overall *

Your overall satisfaction with Empac Employment Resources?

1

2

3

4