2-1-1 Online Client Feedback Form

E-mail Address: * Name: * Agency (if applicable): County: * Phone Number: If you are reporting that you had trouble with the website; can you tell us about the problem? Could we contact you to help you resolve the problem you are having? Yes No Was the website easy to navigate? Yes No If not what were the challenges? What recommendations for improvements to the website could you provide? Verification Code: Enter Verification Code: * * Required

Thank you for using the 211iowa.org website. We are always looking for
information from users about how we can improve the website and
access to 2-1-1. Please complete the following questionnaire to help improve
the 2-1-1 system within the State of Iowa. Information supplied will be kept confidential.

Coordinated by the Iowa Alliance of Information and Referral Systems (Iowa AIRS).
For more information contact Craig Canfield: craig@unitedwayqc.org

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