Quality Assurance & Compliance Customer Service Survey Question Title * 1. What services did you receive from Charles County DSS? Child Support Emergency Services (Burial, Utilities) Homeless Services Family Involvement Meeting 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
