We are pleased that you have visited CalWORKs and now are asking for your help. Please take a few minutes to answer some questions about our service. Your suggestions and opinions are important to us. The responses will be evaluated and changes or improvements will be made in an effort to provide you with better services. Your responses will be kept completely confidential. Thanks for your participation!

Tell us about you...

* 1. Your Age:

* 2. Gender:

* 3. Ethnic background:

* 4. Is English your first language?

* 5. Where did you receive the service(s)?

* 6. Please rate your level of agreement with the statements regarding CalWORKs service(s) according to the scale below. Leaving an answer space blank means "Not Applicable".

  Strongly disagree Disagree Neither agree/disagree Agree Strongly agree
I was treated courteously by the staff.
The staff was attentive to my needs.
The staff was knowledgeable and able to answer my questions.
The assistance I received from this department was useful.
The office hours were convenient to meet my needs.
Overall, I am satisfied with the services I received.
I feel comfortable returning for additional services if I need them.

* 7. How did you learn of the service(s)?

* 8. Please write any comments or suggestions you have regarding the CalWORKs program.

Thank you for taking the survey!
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