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Kenosha County Aging and Disability Resource Center (ADRC) - How are we doing?

  1. ADRC Logo cmyk email

  2. Thank you for taking the time to tell us about your contact with the Kenosha County Aging and Disability Resource Center (ADRC). Your feedback is so meaningful to us. The more information you provide, the better we can understand your experience. You may also call us at 262-605-6646 or email at adrc@kenoshacounty.org

  3. How would you best describe yourself?

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  4. How did you contact the ADRC?

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  5. What kind of help did you receive?

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  6. Were you treated with respect?

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  7. How well did the services you received meet your need?

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  8. How satisfied are you with the amount of help you received?

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  9. How confident are you about the information you received?

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  10. How would you rate the overall quality of your experience with the ADRC?

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  11. Would you like to be contacted by the ADRC about your experience ?

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  12. Thank you!

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  14. This field is not part of the form submission.