Quality Assurance & Compliance Customer Service Survey Question Title * 1. What services did you receive from Charles County DSS? Child Support Emergency Services (Burial, Utilities, Shelter) Homeless Services Family Involvement Meeting SNAP (Food Stamps) TDAP TCA Foster Care Medical Assistance In-Home Services Child Protective Services Scheduled Interview Other (please specify) Question Title * 2. Did your caseworker provide you with additional information about community services? Yes No N/A Question Title * 3. Were you treated with respect today? Yes No Question Title * 4. How did you hear about us? Family / Friend Internet Community Provider Other (please specify) Question Title * 5. How long was your wait time? 0 – 20 mins 20 – 30 mins 30 – 60 mins 60+ mins Question Title * 6. Were your needs met? Yes No I am not sure Question Title * 7. Were you eligible for the services that you applied for? Yes No N/A Question Title * 8. How satisfied are you with the customer service that you received today? Very Satisfied Satisfied Neither Satisfied Nor Unsatisfied Dissatisfied Very Dissatisfied Question Title * 9. Was your caseworker knowledgeable about the program you needed today? Yes No N/A Question Title * 10. Did your caseworker provide you with additional information about community services? Yes No N/A Question Title * 11. How can we serve you better? Question Title * 12. Name of the caseworker that you met with or spoke to: Question Title * 13. Would you like to be contacted about this survey or your experience while at Charles County DSS? If so, please provide your name, phone number and/or email address. Done
