Client Service Survey
Please take a moment to fill out this survey regarding the services you have received with Engaging Arkansas Communities. Thank you for your time.
Which of the following services have you received from EAC? (Choose ALL that apply.)
STI/HIV Testing and Counseling
At-Home HIV Testing
Condom Club
PrEP Services
Transportation (Positive Miles)
Food Pantry
Community Health Worker or Case Management Services
Other
Where did you receive our services? (Choose ALL that apply.)
Little Rock Office
Hot Springs Office
Fort Smith Office
Rogers Office
Texarkana Office
Community Event
Online
A ride was provided by a staff or volunteer
Other
Please indicate how much you agree or disagree with the following statements regarding the service(s) provided:
Strongly Agree
Agree
Neutral
Disagree
Strong Disagree
Not Applicable
Staff were friendly and attentive while providing services
Staff were knowledgeable about services provided
Safety procedures were followed
I felt comfortable in the setting in which the service was provided
Staff took the time to understand my needs
The service I was provided is of value
I would utilize this service at EAC again
I would recommend EAC to a friend or family member
What did you like MOST about the service(s) we provided?
What did you like LEAST about the service(s) we provided?
Is there any other feedback you would like to provide?
Submit Survey
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