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EXHIBIT C <br /> <br />SAMPLE OF ORGANIZATIONS CLIENT SATISFACTION SURVEY <br />(PLEASE INCLUDE BRIEF NARRATIVE OF HOW IT WILL BE SOLICITED) <br /> <br />In Q3 or Q4 of FY 20-21, each SOS Meals on Wheels client will receive a copy of the <br />Alameda County AAA Satisfaction Survey, with their daily meal delivery on a set date. A <br />week later, the surveys will be collected by SOS and the totals will be calculated. <br /> <br />Alameda County Home Delivered Meals Satisfaction Survey <br />Thank you for telling us what you think of our meals so we can better serve you. <br /> <br />Please circle your age category: 60-65; 66-70; 71-75; 76-80; 81-85; 85-90; <br />90+ <br />I have been getting meals for: ____ < 3 months ____< 1 year ____> 1 year ___> 3 <br />years <br /> <br />When do you eat your home delivered meal? ____As soon as it arrives _____Save it <br />for later <br />Do you finish your meal? _____At one setting _____Save some for later <br />Do you have diet restrictions? ___No ____Yes Describe <br />_____________________________ <br /> <br />Overall, how do you rate your delivery person? <br /> Excellent Very Good Good Fair Poor <br />Attitude and Appearance <br />Promptness <br /> <br />Overall, how would you rate your food? <br /> Excellent Very Good Good Fair Poor <br />Appearance <br />Taste <br />Variety <br />Portion Size <br /> <br />How do you rate the following? <br /> Excellent Very Good Good Fair Poor <br />Frozen Meals <br />Soup/Salad Meals <br />Soup or Sandwich Meals <br />Does receiving meals improve your health? ______ Yes ______ No <br />278