Let Us Know How We Are Doing!

If you've received services from FSN-SENC in 2007, please complete this form and click on the "Submit Form" button at the bottom.

Your comments will help us as we strive to provide the best possible services for our community.

Have you called FSN-SENC for referral or advocacy assistance?:

Y N
Did you receive assistance in a timely manner?: Y N
Was the employee courteous and responsive to your needs?: Y N
Did the level of services provided satisfy you?: Y N
Was the information provided helpful to you?: Y N
Have you participated in one of our trainings?: Y N
If you participated in training, was it useful?: Y N
Do you receive our newsletter?: Y N
Do you feel that our newsletter has information that is of use to you?: Y N
Have you ever attended our Coming Together Conference?: Y N
Do you feel it is a quality conference and has information you needed?: Y N
Do you have any suggestions?  If so please enter them in the next box: Y N
Enter suggestions/comments here:
If you wish us to contact you, enter email address or your phone number here: