Miami-Dade County :: Homeless Trust Satisfaction

CoC Client Satisfaction Survey

Thank you for taking the time to tell us about your experience with the agency below. These questions are meant to help us improve the services provided within the Miami-Dade County, homeless Continuum of Care. Please answer the following questions about the services you received. Select only one option which best describes your feelings about each statement.

What is the name of the agency you are rating?

What is the name of the project you are rating?

Please evaluate EACH of the following statements and provide a response for EACH of the statements. (We ask that you provide a response to ALL of the statements below, indicating whether you Agree or Disagree)

Please evaluate EACH of the following statements and provide a response for EACH of the statements. (We ask that you provide a response to ALL of the statements below, indicating whether you Agree or Disagree)
	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
I was informed of my rights and responsibilities, including the agency's grievance procedures	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
I was provided with information about different support services that are available to me	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
I was involved in making decisions about my service plan	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
I was able to talk with staff when I needed to	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
The building and facilities are kept clean, safe and comfortable	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
My rights were acknowledged, respected and protected	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
The staff cares about my wellbeing	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
Program staff are knowledgeable about available resources that could help me	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree
I would recommend this program to others	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree

Please tell us in your own words, how we can improve the housing and/or services being delivered?

What category best describes the current level of care you are receiving? (Select one option from the drop-down list)

Homeless Prevention
Emergency Shelter
Transitional Housing
Short to Medium-term Rental Assistance (aka Rapid Re-Housing)
Permanent Supportive Housing
Stand-alone Support Services (for example: Street Outreach, legal services)

How long have you been a client of the agency you are rating here?

This is my first week in the program
I have been in the program for more than one week but less than one month
I have been in the program more than one month but less than six months
I have been in the program between six months to a year
I have been in the program for over 1 year

Optional: Provide name of person completing this survey

First Name

Last Name

Date of Birth

Email Address