Evaluation Form
Information, Referral and Advocacy Evaluation
This form is used to evaluate our services. Your feedback is extremely important!
It will help us decide how to best meet the needs of those accessing our centre.
1. Was the information and assistance you received helpful?
Very helpful
Somewhat helpful
Not helpful
2. How would you describe the ARC staff member that you spoke with
?
Not
Satisfied
Somewhat
Satisfied
Extremely
Satisfied
Knowledgeable
1
2
3
4
5
Pleasant
1
2
3
4
5
Helpful
1
2
3
4
5
3
.
Did the Centre have the resources you we're looking for
?
Not
Satisfied
Somewhat
Satisfied
Extremely
Satisfied
1
2
3
4
5
If not satisfied, please let us know what you we're looking for:
4
.
What age group were you seeking information about
?
1
-5
6-10
11-13
14-18
19 and over
5
. After speaking to ARC, I felt?
6
. Additional comments:
Thank you for taking the time to let us know how we are doing!
Your feedback is important to the Autism Resource Centre!!
