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.