* 1. It is easy to get in contact with Child Support.

* 2. Child Support Staff gets back to me in a timely manner.

* 3. Child Support listens to what I say.

* 4. I understand the actions taken on my case.

* 5. Overall I feel that I was treated professionally and respectfully.

* 6. Was the Child Support Web Portal discussed?

* 7. Was your information and insurance verified?

* 8. Date of Visit (Optional):

Date / Time

* 9. Name of Staff Member I met with or talked to:

* 10. Additional Comments:

* 11. Date of Survey (Optional):

Date / Time

* 12. Contact Information (Optional):

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