Outreach Program Beneficiary Experience Feedback — Form Fields
This feedback template includes 9 fields. Collect service recipient feedback on nonprofit outreach program quality and helpfulness. Free to customize and use on ZenBuild.
Program or service used (dropdown selection, required) — options: Food Assistance, Housing Support, Job Readiness, Mental Health, Legal Aid, Youth Programs, Senior Services
Ease of Accessing Services (rating, required)
Staff Respect and Professionalism (rating, required)
How Well Services Met Your Needs (rating, required)
Did you receive the help you were seeking? (multiple choice, required) — options: Yes, fully, Mostly, Partially, No
Barriers you experienced accessing services (checkboxes, optional) — options: Transportation, Language Barrier, Documentation Required, Long Wait Times, Inconvenient Hours, None
How have these services made a difference in your life? (long text, optional)
What additional help would benefit you most? (long text, optional)
