Professional Stakeholder Satisfaction Survey

Thank you for taking the time to complete this survey regarding our services to clients of Community Catalysts of California. We value our partnership in working together to meet the needs of a common client. Your candid and complete evaluation will help us to provide appropriate feedback to our staff and assist us in continuously improving our services.

Question Title

* 1. Please select your relationship to Community Catalysts of California (CCC):

Regional Center employee

Department of Rehabilitation employee

Department of Veterans Affairs employee

Department of Labor employee

Employer

Property owner/manager/landlord

Parent/Guardian/Conservator

Payee

Transportation Provider

Prefer not to specify

Other (please specify)

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* 2. How satisfied are you with CCC?

Extremely satisfied

Very satisfied

Satisfied

Somewhat unsatisfied

Unsatisfied

No basis for opinion (N/A)

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* 3. How well did CCC provide services in a timely manner?

Excellent

Good

Fair

Poor

No basis for opinion (N/A)

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* 4. How well did CCC assess and serve your needs?

Excellent

Good

Fair

Poor

No basis for opinion (N/A)

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* 5. How effective was CCC in working with you?

Excellent

Good

Fair

Poor

No basis for opinion (N/A)

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* 6. Please rate the level of professionalism of CCC staff?

Excellent

Good

Fair

Poor

No basis for opinion (N/A)

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* 7. How likely are you to refer CCC to others?

Very likely

Somewhat likely

Somewhat unlikely

Very unlikely

No basis for opinion (N/A)

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* 8. Comments:

Question Title

* 9. This survey is not anonymous, but will be kept confidential. If you wish to provide your name and contact information we will follow up with you regarding any concerns that you may have mentioned.

Name

Company

Email Address

Phone Number