Give Us Your Feedback – Oregon Community Programs

1. Which of the following OCP Programs did you or your child participate in? *

2. Please rate your experience with this program? *

Very Good	Good	Neutral	Poor	Very Poor
Very GoodItem #1 Very Good	GoodItem #1 Good	NeutralItem #1 Neutral	PoorItem #1 Poor	Very PoorItem #1 Very Poor

3. Pease tell us a little more about your experience participating in this program.

4. Is there anything we can do to improve the service you received?

5. How likely are you to refer friends or family to Oregon Community Programs (OCP)? *

Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Very LikelyItem #1 Very Likely	LikelyItem #1 Likely	NeutralItem #1 Neutral	UnlikelyItem #1 Unlikely	Very UnlikelyItem #1 Very Unlikely

Name (Optional)

If you would like an OCP staff member to follow up with you regarding your feedback, please supply contact information above.

I consent for OCP to utilize my feedback in promotional material such as program fliers, the organization’s website, and social media. I understand that neither my name or my child’s name will be attached to my feedback, instead it will appear as a “client testimonial”

I DO NOT consent for OCP to utilize my feedback in promotional material such as program fliers, the organization’s website, and social media.