Customer Satisfaction Survey

Your comments are important to the success of this program.  Please complete and forward to:

            DARS

            Office for Deaf and Hard of Hearing Services (DHHS)

            PO Box 12904

            Austin,  Texas  78711

Or you may go to our website and submit electronically at www.axsability.com

  1. How did you inquire/learn about our services?

    Website
    Phone Call
    Letter
    Other

  2. How did you learn of our agency?

    Referral
    Website
    Mail-out
    Other

  3. Your reason to contact CAAG?

    General Information
    Telephone Equipment
    Interpreter Certification (BEI)
    Hearing Aid/Listening Equipment
    Advocacy Assistance
    Workshop CEU's
    Other

  4. How was the CAAG staff? Check all that apply.

    Courteous      Knowledgeable  Appropriate    Helpful      
Inappropriate  Other

  5. Satisfied with the services received?

    Strongly Agree
    Agree
    Neutral
    Disagree
    Strongly Disagree

  6. Information was clear and helpful.

    Strongly Agree
    Agree
    Neutral
    Disagree
    Strongly Disagree

CAAG4 jjahn
Copyright © 2007 Communication Axess Ability Group. All rights reserved.
Revised: 08/31/07