2-1-1 Online Client Phone Feedback Form

Thank you for using the 211iowa.org Phone service. We are always looking for information from users about how we can improve the 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.

E-mail Address: * Name: * Agency (if applicable): County: * Phone Number: Which of the following sources did you use to call 2-1-1? Business Phone Home Phone (landline) Cell Phone What was the approximate date and time the call was made? What happened when you called? nothing ring but no pickup fast busy signal slow busy signal message other If you received a message or answered the question with other please elaborate on your answer. (Ex: The messages stated: All line are busy.) If you still have questions would you like someone from 2-1-1 to contact you to resolve the dialing issue? Yes No Verification Code: Enter Verification Code: * * Required

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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