Social Outcomes Survey

Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.
Introduction
For testing only - survey results will not be saved. They may be used as test data for demonstrations. Do not write anything that might identify you.
To use this survey for real data collection, activate your survey in SIS.

This survey asks how things are going in your life right now. By filling out this survey, you will help [Agency] to improve our services.

Before you take this survey you should know the following:
  • You do not have to take this survey - it is your choice.
  • The survey should take 5 minutes to complete.
  • The survey will not ask for your name or any information that might identify you.
  • You can skip any questions that you don't want to answer. You can quit the survey anytime.
  • If you want to learn more about this survey, please contact [Name], [Position], at [Contact info].
If you are willing to continue, press the Next button.