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Children's Special Health Care Services Client Survey 2024
Please help us improve our services by answering the following questions.
Thank you for your participation.
1.
Are you involved in any other program(s) at the Tuscola County Health Department? (Select all that apply)
Immunizations
Maternal & Infant Health Program
Family Planning/STI
WIC
Other (please specify)
None of the above
2.
Have you encountered any problems, or have concerns with any of the following? (Select all that apply)
Contacting the program or person you need
Scheduling an appointment
Agency hours of operation
Receiving appointment reminders
Reading, understanding and completing paperwork or forms
Wait times
Privacy when speaking to staff
If so, please explain
None of the above
3.
How do you stay current on information from or about CSHCS? (Select all that apply)
Facebook
Website(www.tchd.us)
Other (please specify)
4.
Do you feel like you are actively involved in your plan of care?
Yes
No
If not, please explain why.
5.
Please rate the overall performance of the CSHCS staff you interact with
Excellent
Good
Fair
Poor
6.
Please rate your overall satisfaction with the CSHCS program
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
7.
Would you be interested in a support group for children with severe and/or chronic illnesses?
Yes
No
If yes, please share your name and phone number.
8.
Do you have any needs not being met? (for example, housing, utilities, transportation, food, etc.)