{"id":28,"date":"2015-08-05T17:09:46","date_gmt":"2015-08-05T17:09:46","guid":{"rendered":"http:\/\/aboriginalhsc.org\/?page_id=28"},"modified":"2022-08-30T19:55:07","modified_gmt":"2022-08-30T19:55:07","slug":"client-feedback","status":"publish","type":"page","link":"https:\/\/aboriginalhsc.org\/index.php\/client-feedback\/","title":{"rendered":"Client Feedback"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: left top;background-repeat: no-repeat;padding-top:20px;padding-right:0px;padding-bottom:20px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"text-align: center;\"><span style=\"color: #d9471d;\">Client Feedback Form<\/span><\/h1>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-has-icon fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;\"><\/div><span class=\"icon-wrapper\" style=\"border-color:#e0dede;background-color:rgba(255,255,255,0);font-size:16px;width: 1.75em; height: 1.75em;border-width:1px;padding:1px;margin-top:-0.5px\"><i class=\" fa fa-chevron-down\" style=\"font-size: inherit;color:#e0dede;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-one-half\" style=\"width:48%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f31-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"31\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/28#wpcf7-f31-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"31\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f31-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<input type=\"hidden\" autocomplete=\"off\" autocorrect=\"off\" name=\"n-IOXc-h-Trz-K-Nc\" value=\"\" \/><p>A) How did you first learn about AHSC? (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"learn-about\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"learn-about\" value=\"AHSC brochure\" \/><span class=\"wpcf7-list-item-label\">AHSC brochure<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"learn-about\" value=\"Internet\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"learn-about\" value=\"Phone book\" \/><span class=\"wpcf7-list-item-label\">Phone book<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"learn-about\" value=\"Word of mouth\" \/><span class=\"wpcf7-list-item-label\">Word of mouth<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"learn-about\" value=\"Referred by another agency\" \/><span class=\"wpcf7-list-item-label\">Referred by another agency<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"learn-about\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p>B) How did you first make contact with AHSC? (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"make-contact\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"make-contact\" value=\"Telephone\" \/><span class=\"wpcf7-list-item-label\">Telephone<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"make-contact\" value=\"Letter or email\" \/><span class=\"wpcf7-list-item-label\">Letter or email<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"make-contact\" value=\"Instant messaging\" \/><span class=\"wpcf7-list-item-label\">Instant messaging<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"make-contact\" value=\"Walked in off the street\" \/><span class=\"wpcf7-list-item-label\">Walked in off the street<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"make-contact\" value=\"Completed questionnaire on this website\" \/><span class=\"wpcf7-list-item-label\">Completed questionnaire on this website<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"make-contact\" value=\"Contact form on this website\" \/><span class=\"wpcf7-list-item-label\">Contact form on this website<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"make-contact\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p>C) What was your primary reason for connecting with AHSC? (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"primary-reason\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"primary-reason\" value=\"Received an eviction notice\" \/><span class=\"wpcf7-list-item-label\">Received an eviction notice<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"primary-reason\" value=\"To apply for subsidized housing\" \/><span class=\"wpcf7-list-item-label\">To apply for subsidized housing<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"primary-reason\" value=\"Needed help finding more affordable market rent housing\" \/><span class=\"wpcf7-list-item-label\">Needed help finding more affordable market rent housing<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"primary-reason\" value=\"Housing information help\" \/><span class=\"wpcf7-list-item-label\">Housing information help<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"primary-reason\" value=\"Curious about services offered by the agency\" \/><span class=\"wpcf7-list-item-label\">Curious about services offered by the agency<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"primary-reason\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p>D) Were your needs met by using the AHSC service? (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"yes-no\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"yes-no\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"yes-no\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>If No, what could have been done differently that would have satisfied you?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"done-differently\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"done-differently\"><\/textarea><\/span>\n<\/p>\n<p>E) What suggestions or comments do you have regarding the AHSC service?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"suggestions\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"suggestions\"><\/textarea><\/span>\n<\/p>\n<p>Your name (optional)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"yourname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"yourname\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n<div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last\" style=\"width:22%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p>\u00a0<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-fullwidth.fusion-builder-row-2 { overflow:visible; }<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-28","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/pages\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":10,"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":298,"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/pages\/28\/revisions\/298"}],"wp:attachment":[{"href":"https:\/\/aboriginalhsc.org\/index.php\/wp-json\/wp\/v2\/media?parent=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}