Consumer Satisfaction Question Title * 1. What program area are you evaluating? Note: Only one program may be evaluated at a time. Public Assistance Child Support Workforce/OhioMeansJobs (includes Child Care and Work Activities) Social Services (Child and Adult Protection, Supportive Services, Adoption) General (i.e. Front Desk) Question Title * 2. Do you know your case number? Yes No Question Title * 3. If Yes, enter your case number here. Question Title * 4. Please rate the agency's response to your questions/concerns/case status and next steps. Question Title * 5. Please share any positive comments you have regarding your recent interactions with the agency. Question Title * 6. Please share any feedback/suggestions you have based on your recent interactions with the agency. Question Title * 7. Would you like a representative to contact you regarding your experiences with the agency? Yes No Question Title * 8. If yes, please provide your name and phone number so we may contact you. Name Phone Number Done
