2. Please select a Department first*
   -- Select One --Rental Assistance Division (Housing Choice Voucher Program)FinanceHousing Assistance Division (Public Housing)
4. 1. How often do you visit or call our offices?

   1. Weekly

   1. Monthly

   1. Between two to six times a year

   1. Once a year
6. 2. What was the reason for your most recent visit or call?

   Check all that apply:

   1. Inspections
   2. Recertification

   1. Finance
   2. Contract

   1. Move Request
   2. Income Change

   1. Other
8. Other reason: Please Explain:
10. 3. On your most recent visit or call, how long was your wait for service?
    -- Select One --Less than 5 minutes5 minutes10 minutes15 minutes20 minutes25 minutes30 minutes35 minutes40 minutes45 minutes50 minutes55 minutes1 hour or more
12. 4. On your most recent visit or call, how long did you spend with a HAPGC representative?
    -- Select One --Less than 5 minutes5 minutes10 minutes15 minutes20 minutes25 minutes30 minutes35 minutes40 minutes45 minutes50 minutes55 minutes1 hour or more
14. 5. Knowledge of staff at reception desk

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
16. 6. Speed of the check-in at reception

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
18. 7. Degree to which you were informed about any delays

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
20. 8. Wait time (from arriving to leaving)

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
22. 9. Comfort and pleasantness of the reception area

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
24. 10. Length of wait before meeting with HAPGC representative

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
26. 11. Friendliness/courtesy of staff in the reception area

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
28. 12. Ease of getting through to Housing Authority on the phone

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
30. 13. Our helpfulness on the telephone

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
32. 14. Promptness of returning your phone calls

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
34. 15. Friendliness/courtesy of staff at Housing Authority

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
36. 16. Our response to concerns made during your visit or call

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
38. 17. Overall rating of our service during your visit or call

    1. Very Good
    2. Good

    1. Fair

    1. Poor

    1. Very Poor
40. 18. How often do you visit our website?

    1. Never
    2. Daily

    1. Weekly
    2. Monthly

    1. Quarterly

    1. Annually
42. 19. Which staff member did you interact with?
44. 20. What was the date and time of your interaction?
46. Do you have any comments or suggestions?
48. If you would like us to contact you regarding your experience, please provide your name and preferred method of contact below.
50. Name
51. Phone Number
52. Email Address
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

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