Consumer Satisfaction Survey (Adult Protective Services)

We are trying to improve the way we deliver our services. We cannot change the laws and policies that direct our programs; however, we can make changes so your contact with us is effective, efficient and positive.

This survey is confidential. The answers you give to the questions below are anonymous and will not be shared with the staff at the Champaign County Department of Job and Family Services in a way that would identify you. However, for reporting purposes we need to know your gender and your race.

* 1. What is your gender?

* 2. What is your race? Mark one or more.

* 3. Are you satisfied that adult protective services staff treated you with dignity and respect?

* 4. Are you satisfied that you were informed of your rights and your responsibilities prior to receiving services?

* 5. Are you satisfied that the services of our agency were explained to you?

* 6. Are you satisfied that adult protective services staff answered all of your questions?

* 7. Are you satisfied that our facilities are accessible to you?

* 8. Are you satisfied adult protective services staff returned your calls in two working days?

* 9. Are you satisfied that you had a chance to participate in determining services you may/may not need?

* 10. How do you believe that adult protective services can improve our services to you?

* 11. COMMENTS: (If you have additional comments that will help explain your answer please feel free to make additional comments in this section. If you wish to speak with a supervisor or administrator regarding comments, please include your name and a telephone number where you can be reached.

Your thoughts and opinions matter very much to us. Sharing them helps us make improvements in our services to the community. Thank you for taking a few minutes to fill out this survey.