Your Name:
Your E-Mail address:
Enrollee's Name:
Relation to Enrollee:
Do you know who Windfall Industries is and what services we provide?
Yes
No
Would you like additional information on Windfall Industries' services relating to:
Community-Based (Job Placement, Coaching, Enclaves, Workstations)
M.A.P. Facility
Adult Services-Ages 22 or over
Student Services-Ages 16 to 22
How can we improve our services? What recommendations do you have for change?
How would you rate your experience with Windfall Industries?
On a scale from 1 to 5, 1 being worst and 5 best.
1
2
3
4
5
What do you like most about our services?
What additional Services would you like to see Windfall Industries offer?
What Educational Events would you like to see offered?
What Social/Recreational Events would Enrollee like to participate in?
Would you as a Parent/Guardian/Family member be interested in volunteering?
Yes
No
Thank you for your order!
Please expect our delivery in half an hour from now. Prepare the necessary amount please.
