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Amherst Survival Center

Amherst Survival Center

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ASC Feedback & Complaint Form

ASC Feedback & Complaint Form

We want your honest, candid feedback. We want to learn from and address your complaints. We will promptly review, respond to, and attempt to resolve feedback and complaints. If immediate action is needed to address a current situation, notify a staff member. Depending on the nature of the feedback or complaint, this will be sent to an appropriate decision-maker.

It is Center’s policy that no one who provides feedback or makes a complaint will face discrimination or retaliation of any kind. Amherst Survival Center does not respond to anonymous feedback or complaints.

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Today's Date(Required)
Your Name (First and Last)

Please tell us if you would like to offer feedback or make a complaint.

Feedback can be positive or negative! Something you wish was different, a suggestion, a concern, or something you love about ASC. A complaint is dissatisfaction or grievance regarding the behavior of another participant, volunteer, or staff member; quality of service; an incident you experienced here; or other programmatic concerns.

All complainants will be contacted. Please provide contact info below. You will receive a response within 10 business days after submission.

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Would you like to be contacted by us regarding your feedback?

How can we contact you? (optional for feedback, required for complaints)

Mail
When will you next be at the Center?

Please include a brief explanation with all relevant facts, including the date and time of occurrence. Thank you!
What would be better for you in the future?

*A copy of the full ASC Complaint Process is available here, or via email or hard copy upon request.

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We are open:

COMMUNITY CENTER & MEALS:
M 12-3
T 12-3
W CLOSED
TH 12-3
F 12-3

PANTRY:
M 12-3
T 12-7
W CLOSED
TH 12-7
F 12-3
S 3rd Saturday/month

Address:

P.O. Box 9629
138 Sunderland Rd.
North Amherst, MA 01059

Ph: 413-549-3968  amherstsurvival@amherstsurvival.org

We are on the PVTA bus route:

PVTA Bus 33 schedule

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