Name: (Optional): 
Office Symbol or Home Address: (Optional): 
Email: 
 

1.  How would you rate the customer service from Army Community Service?
Excellent         Good         Fair         Poor

2.  Was the customer service you received provided in a courteous manner?
Yes         No

3.  Was the customer service you received provided in a timely manner?
Yes         No

4.  Were your needs met?
Yes         No

5.  Which of the following programs/services did you use?

a.    Family Advocacy	b.   Information and Referral	c.   New Parent Program
d.    Army Family Action Plan	e.   Exceptional Family Member	f.    Book and Video Library
g.    Army Family Team Building	h.   Scholarship Assistance	i.    Volunteer Program
j.     Family Enrichment Classes	k.   Tax Assistance	l.    Relocation Assistance
m.   Lending   Locker	n.   Outreach	o.   Employment Assistance
p.    Disc.Time Playgroup	q.   Parenting Classes	r.    Army Emergency Relief
s.    Financial Readiness	t.    Mobilization & Deployment

6.  Are there any comments about the services that you received?

Form Complete? (Y):