DSS Customer Service Survey Question Title * 1. Staff available in a timely manner. Excellent Good Average Fair Poor OK Question Title * 2. Staff answered your questions. Excellent Good Average Fair Poor OK Question Title * 3. Staff were knowledgeable of services. Excellent Good Average Fair Poor OK Question Title * 4. Staff were courteous throughout. Excellent Good Average Fair Poor OK Question Title * 5. Overall, how would you rate our customer service? Excellent Good Average Fair Poor OK Question Title * 6. What did you like best about our customer service? OK Question Title * 7. How could we improve our customer service? OK Question Title * 8. Is there a staff person you would like to recognize/thank? OK Question Title * 9. If so, who is that person? OK Question Title * 10. Reason OK Question Title * 11. What services were you here for today? Food and Nutrition Services Adult Medicaid Family and Children Medicaid Work First Transportation CIP/LIEAP Fraud Foster Care/Adoption Child Welfare Services Adult Protective Services Child Support Placement Assistance Other (Please Explain Below) OK Question Title * 12. Please Explain OK Question Title * 13. Thank you for taking the time to complete our customer service survey. Date / Time Date OK DONE