Greene County Department of Job & Family Services Satisfaction Survey

Question Title

* Who are you? (check all that apply)

	Client	Services Provider	Area Employer	Contractor/Vendor	Community Stakeholder
I am a:	I am a: Client	I am a: Services Provider	I am a: Area Employer	I am a: Contractor/Vendor	I am a: Community Stakeholder

Community Stakeholder (please specify)

Question Title

* Which unit did you recently contact? (check all that apply)

	Children Services	Adult Protective Services	Child Support Enforcement (CSEA)	Ohio Means Jobs - GreeneWorks Workforce Development	Public Assistance - Including Medicaid, Food Assistance, Cash	Fiscal & Administration
The unit I had contact with:	The unit I had contact with: Children Services	The unit I had contact with: Adult Protective Services	The unit I had contact with: Child Support Enforcement (CSEA)	The unit I had contact with: Ohio Means Jobs - GreeneWorks Workforce Development	The unit I had contact with: Public Assistance - Including Medicaid, Food Assistance, Cash	The unit I had contact with: Fiscal & Administration

Question Title

* Please mark the box, using the scale with 1 for Unacceptable, 2 for Below Average, 3 for Average, 4 for Above Average, and 5 for Excellent.

	1 - Unacceptable	2 - Below Average	3 - Average	4 - Above Average	5 - Excellent
Physical Environment	Physical Environment 1 - Unacceptable	Physical Environment 2 - Below Average	Physical Environment 3 - Average	Physical Environment 4 - Above Average	Physical Environment 5 - Excellent
Courteous reception	Courteous reception 1 - Unacceptable	Courteous reception 2 - Below Average	Courteous reception 3 - Average	Courteous reception 4 - Above Average	Courteous reception 5 - Excellent
Explanation of my rights & responsibilities	Explanation of my rights & responsibilities 1 - Unacceptable	Explanation of my rights & responsibilities 2 - Below Average	Explanation of my rights & responsibilities 3 - Average	Explanation of my rights & responsibilities 4 - Above Average	Explanation of my rights & responsibilities 5 - Excellent
Opportunity to ask questions	Opportunity to ask questions 1 - Unacceptable	Opportunity to ask questions 2 - Below Average	Opportunity to ask questions 3 - Average	Opportunity to ask questions 4 - Above Average	Opportunity to ask questions 5 - Excellent
Staff knowledge of programs	Staff knowledge of programs 1 - Unacceptable	Staff knowledge of programs 2 - Below Average	Staff knowledge of programs 3 - Average	Staff knowledge of programs 4 - Above Average	Staff knowledge of programs 5 - Excellent
Helpfulness of staff	Helpfulness of staff 1 - Unacceptable	Helpfulness of staff 2 - Below Average	Helpfulness of staff 3 - Average	Helpfulness of staff 4 - Above Average	Helpfulness of staff 5 - Excellent
I was treated with respect.	I was treated with respect. 1 - Unacceptable	I was treated with respect. 2 - Below Average	I was treated with respect. 3 - Average	I was treated with respect. 4 - Above Average	I was treated with respect. 5 - Excellent
I was invovled in planning services.	I was invovled in planning services. 1 - Unacceptable	I was invovled in planning services. 2 - Below Average	I was invovled in planning services. 3 - Average	I was invovled in planning services. 4 - Above Average	I was invovled in planning services. 5 - Excellent
I was offered information and/or services.	I was offered information and/or services. 1 - Unacceptable	I was offered information and/or services. 2 - Below Average	I was offered information and/or services. 3 - Average	I was offered information and/or services. 4 - Above Average	I was offered information and/or services. 5 - Excellent
Phone calls were returned timely.	Phone calls were returned timely. 1 - Unacceptable	Phone calls were returned timely. 2 - Below Average	Phone calls were returned timely. 3 - Average	Phone calls were returned timely. 4 - Above Average	Phone calls were returned timely. 5 - Excellent
I received the help I needed, or the worker explained why not.	I received the help I needed, or the worker explained why not. 1 - Unacceptable	I received the help I needed, or the worker explained why not. 2 - Below Average	I received the help I needed, or the worker explained why not. 3 - Average	I received the help I needed, or the worker explained why not. 4 - Above Average	I received the help I needed, or the worker explained why not. 5 - Excellent
Overall experience	Overall experience 1 - Unacceptable	Overall experience 2 - Below Average	Overall experience 3 - Average	Overall experience 4 - Above Average	Overall experience 5 - Excellent

Question Title

* Do you have any comments you would like to share?

Question Title

* Would you like someone to contact you to speak with you more about what you have shared on this survey?

Yes

No

Question Title

* If you answered Yes to the previous question, please provide your name and a phone number.

Name

Phone Number