Good Samaritan Advocates

Client Survey

Thank you for visiting your local GSA clinic.

We appreciate your feedback. Please take the time to fill out the form below to let us know how we are doing and how we can better serve you and your neighbors in the future.

When you submit this form it is sent to our main office in Springfield, VA. Your answers will not be shared with the attorneys who helped you, and your comments will only be made public with your permission. Thank you for your time and input.

Clinic

Date of Clinic

YYYY

Who are the attorney(s) who assisted you today?

First Name

Last Name

First Name

Last Name

Were you promptly greeted, offered something to drink, and made to feel welcome?

Did your session begin on time according to your scheduled appointment?

Did your GSA lawyer and legal team seem to be familiar with your application and any materials you had submitted in advance?

Were all your legal issues and questions answered?

Were you provided some practical next steps to address your legal problems?

Were you encouraged by your GSA team?

Were you treated respectfully?

Were you given the opportunity to address anny spiritual or other questions and issues that might be related to your legal problem?

Would you recommend GSA to friends who qualify financially and have legal needs?

Are you willing to have a GSA volunteer contact you so you can share your experience and any feedback that may help us improve the GSA program?

Yes

If yes, please provide your name and contact information

First Name

Last Name

Phone Number

Please provide any feedback you think would be helpful to the continued success of the Good Samaritan Advocates Program