CILCP Publications
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ADOBE ACROBAT
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2006 Annual Report
CILCP Agency Brochure
Rural Transportation
Advocacy: The Success Story
Grassroot Advocacy At Its
Best
Sweep Up Your Neighborhood
Just Do It ADA Justice Kit
Other Publications
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Customer Satisfaction Survey
1.
How did you learn about the CILCP?
Please select...
Advertisement
Agency/Business Referral
Brochure
Family/Friend
Presentation
Telephone Book
Other
If "Other," please explain:
2.
How would you rate the services you received from CILCP in terms of increasing your independence?
Please select...
Extremely Helpful
Very Helpful
Somewhat Helpful
Not Very Helpful
Not Helpful at All
3.
What type of service(s) have you used from the CILCP?
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ADA Technical Assistance/Survey
Advocacy
Attendant Care
Home Modifications
Information & Referral
Payroll Services
Trainings
Other
If "Other," please explain:
4.
How would you rate CILCP Staff’s response to your needs?
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Excellent
Good
Satisfactory
Fair
Poor
*Why?
5.
How likely are you to contact CILCP for assistance in the future?
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Very Likely
Maybe
Never
6.
What advocacy issues would you like to see CILCP address?
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Accessibility
Health Care
Housing
Personal Assistance Services
Transportation
Other
If "Other," please explain:
7.
How would you rate the CILCP staff?
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Friendly and knowledgeable
Average
Varies on each visit/contact
Poor
8.
How would you rate the CILCP Web Page?
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Excellent
Good
Satisfactory
Fair
Poor
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Center for Independent Living of Central PA
207 House Avenue, Suite 107, Camp Hill, PA 17011
Local
(717) 731-1900
(717) 737-1335 (TTY)
717-731-8150 FAX
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(800) 323-6060
(800) 829-7404 (TTY)
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