KinKonnect Survey

Please provide the following information:

Zip Code:
Family Status:
Gender:
Race:         
If Other was selected, specify:
Cultural Background:
Primary Language:
Age:



Pick the answer that most closely reflects how you feel:



1.
The staff at KinKonnect was friendly.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

2. The staff at KinKonnect was helpful.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

3. The assistance I received was handled timely.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

4. I received adequate assistance and information to meet my needs.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

5. The staff at KinKonnect seemed to be knowledgeable regarding my questions and concerns.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

6. I would contact the KinKonnect in the future if I had additonal questions or concerns.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

7.  would refer a friend to KinKonnect if they had questions or concerns  about adoption.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

8. I have increased my knowledge and understanding of some aspect of kinship legal guardianship through my contact with KinKonnect.

Strongly Agree Agree Neutral Disagree Strongly Disagree

 

I contacted the KinKonnect Warm Line to find out about:

Any additional comments:


If you would like the
KinKonnect to contact you regarding this  survey please provide us

with either a phone number:

Or e-mail address:               

Thank you so much for your participation, your contribution is appreciated!