Client Satisfaction Survey
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1
. What is your name? (optional)
What is your name? (optional)
*
2
. Who was your counselor?
Who was your counselor?
Victoria
Juanita
Martina
Connie
Sandi
Courtney
*
3
. If you came to CCCS for an appointment, were the hours of operation convenient?
If you came to CCCS for an appointment, were the hours of operation convenient?
Yes
No
*
4
. Did the counseling session meet your expectations?
Did the counseling session meet your expectations?
Yes
No
*
5
. Comments/Complaints/Questions about your counseling session?
Comments/Complaints/Questions about your counseling session?
*
6
. What were your financial goals when you came to CCCS? (Select all that apply.)
What were your financial goals when you came to CCCS? (Select all that apply.)
To get out of debt
To set up a budget
To purchase a home
To prevent foreclosure of your home
Other (please specify)
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7
. Did your counselor offer you a realistic action plan to help you meet your goals?
Did your counselor offer you a realistic action plan to help you meet your goals?
Yes
No
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8
. Do you feel like you can accomplish your goals after meeting with a counselor?
Do you feel like you can accomplish your goals after meeting with a counselor?
Yes
No
*
9
. Would you recommend CCCS to a friend, relative, or co-worker?
Would you recommend CCCS to a friend, relative, or co-worker?
Yes
No
*
10
. What is your overall rating of CCCS?
What is your overall rating of CCCS?
Excellent
Good
Average
Poor
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