Rake the Town Homeowner Evaluation Form Please answer the questions below regarding the services you received. Your input is needed to evaluate the success of the Workers on Wheels and Rake the Town program. Rake the Town Homeowner Evaluation "*" indicates required fields Rake the Town Client Name* 1. Were you satisfied with the help you received from the Rake the Town volunteers? Yes No If No, please explain the difficulty2. Please check other services you have received through the Workers on Wheels program Home Repair Yard work Housekeeping Painting Mowing Transportation Raking Grocery Shopping Other 3. Have these programs assisted you in continuing to live in your own home? Yes No If Yes, in what ways?4. If these services were not available, how would you have completed the tasks?5. To better serve you, what additional services/rides do you need assistance with?Comments welcomeIf you would like the Workers on Wheels office to contact you regarding additional services, please list your name and phone number