Satisfaction Survey Satisfaction Survey Did ADAP help you in a timely manner? * Yes No If not, what could ADAP do to improve? Were your problems resolved because of ADAP’s intervention? * Yes No How satisfied are you that ADAP was able to get your problem solved? Very Unsatisfied Somewhat Unsatisfied Somewhat Satisfied Very Satisfied What could ADAP have done to serve you better? After working with ADAP, do you feel you have a better understanding of your legal rights or the rights of your family member? * Agree Disagree After working with ADAP, if the problem comes up again, do you feel you can do more for yourself this time Agree Disagree What was the name of the Advocate/Attorney that worked on your problem? Would you use ADAP again? Yes No Additional Information Would you like a staff member to contact you regarding your experience with ADAP? * Yes No Name * Name First Name First Name Last Name Last Name Email * Phone Number * Submit If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.