Cleveland Chesed Center Service Survey
Please fill out this anonymous survey to help us understand how we can best meet your needs.
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Your age: *
Family Size *
Zip Code *
1.      Were you receiving assistance from the Chesed Center prior to COVID19 *
2.      If you answered Yes to #1, compared to pre-COVID, how frequently are you “shopping” at the Chesed Center? *
3. If you are a new client since March 2020, what brought you to us? (i.e. recent loss of income, lack of safe access to food, recently moved to Cleveland)
4. Who referred you to the Cleveland Chesed Center? *
Required
5.  If you experienced a loss of income due to COVID19, has your income recovered to pre-COVID19 levels? *
6.    Please use this space to provide any details on your response to Question #5
7.      What is/are currently your most financially “stressing” concern(s), which is/are not being adequately met by your current use of social service and government assistance programs? *
Required
8.    Please use this space to provide any details on your response to Question #7
9.       Which of the following do you expect to feel the most financial pressure from in the next 6 to 12 months? *
Required
10.    Please use this space to provide any details on your response to Question #9
11.      Are your answers to Questions 7 through 10 directly related to changes due to COVID19? *
12.   Are you currently receiving guidance and/or assistance from our partner organization, Gesher Cleveland, for job support and/or government assistance programs?
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13.   Compared to the pre-COVID19 shopping model, our current drive-through model and product selection is: *
14. If we are not meeting your needs as well, please provide some detailed feedback below
15.   Are there specific products that the Chesed Center could potentially provide that would make a significant difference in the financial welfare of your family?
16.   Are there specific adjunct programs that the Chesed Center could potentially provide that would make a significant difference in the financial welfare of your family (in addition to our clothing sale, holiday, and school supply programs)
17.   Is there anything that we can do as an organization to improve the quality of your shopping experience and better meet the needs of your family?
18.   Please provide any additional thoughts, information, or suggestions below.
19.   If you would like to be contacted for feedback on your answers to these survey questions, please provide your name, phone number, and email address below.
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