Please help us improve our services by completing this form:
1. How would you rate the services provided by Disability Rights New Jersey?
Excellent
Good
Satisfactory
Poor
2. Was the staff responsive to your request for assistance?
Yes
No
Somewhat
3. Was the issue resolved to your satisfaction?
Yes
No
Somewhat
4. How would you rate the staff member who helped you?
Excellent
Good
Satisfactory
Poor
5. Did the staff communicate with you in a timely fashion?
Yes
No
What was the name of the staff member who helped you?
0
/50
I came to Disability Rights NJ for help with:
0
/500
If you answered “no” or “somewhat” to questions 2 or 3, please explain why.
0
/500
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