Please fill out this survey if you have a child with one or more special health care needs, and you get health care for this child in California. Some questions are about California Children's Services, also known as CCS. California Children's Services (CCS) is a state program for children with certain diseases or health problems. Through this program, children up to 21 years old can get the health care and services they need. CCS can connect you with doctors and trained health care people who know how to care for children with special health care needs. If your child does not have CCS or if you are unsure, you can skip these questions.

If you have more than one child with special health care needs, please fill out the survey for the child that has CCS. If none of your children has CCS, or more than one child has CCS, please fill out the survey for your child who has the most health care needs.

The California Department of Health Care Services wants to know what you think about CCS, and other health care programs, and how they meet the health needs of your child. This survey is anonymous. No answers will be linked to your name. If you do not want to answer a question, you do not have to.

If you are 18 years of age or older with a special health care need, and will answer this survey for yourself, we mean you when we say “your child.” Please answer each question based on you.