Client Feedback Form

A) How did you first learn about AHSC? (required)
 AHSC brochure Internet Phone book Word of mouth Referred by another agency Other

B) How did you first make contact with AHSC? (required)
 Telephone Letter or email Instant messaging Walked in off the street Completed questionnaire on this website Contact form on this website Other

C) What was your primary reason for connecting with AHSC? (required)
 Received an eviction notice To apply for subsidized housing Needed help finding more affordable market rent housing Housing information help Curious about services offered by the agency Other

D) Were your needs met by using the AHSC service? (required)
 Yes No
If No, what could have been done differently that would have satisfied you?

E) What suggestions or comments do you have regarding the AHSC service?

Your name (optional)