Customer Satisfaction Survey

Question Title

* 1. Could you please provide your county of residence?

Park County

Hot Springs County

Question Title

* 2. Could you please share your age with us?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Can you please share with us the name of the organization that assisted you in completing your YCAN application?

First Stop Help Center of Park County

Help Center in Thermopolis

Park County Court Supervised Treatment Program

Active in Recovery

Open Space Counseling

Other (please specify)

Question Title

* 4. How satisfied are you with the assistance provided by the case manager in completing your applications today?

	No Opinion	Poor	Fair	Good	Excellent
How was your experience with your case manager?	How was your experience with your case manager? No Opinion	How was your experience with your case manager? Poor	How was your experience with your case manager? Fair	How was your experience with your case manager? Good	How was your experience with your case manager? Excellent
Were you able to receive the necessary services from the case manager?	Were you able to receive the necessary services from the case manager? No Opinion	Were you able to receive the necessary services from the case manager? Poor	Were you able to receive the necessary services from the case manager? Fair	Were you able to receive the necessary services from the case manager? Good	Were you able to receive the necessary services from the case manager? Excellent
Has your case manager fulfilled their promises to you?	Has your case manager fulfilled their promises to you? No Opinion	Has your case manager fulfilled their promises to you? Poor	Has your case manager fulfilled their promises to you? Fair	Has your case manager fulfilled their promises to you? Good	Has your case manager fulfilled their promises to you? Excellent
Could you please provide your rating of the YCAN application process?	Could you please provide your rating of the YCAN application process? No Opinion	Could you please provide your rating of the YCAN application process? Poor	Could you please provide your rating of the YCAN application process? Fair	Could you please provide your rating of the YCAN application process? Good	Could you please provide your rating of the YCAN application process? Excellent
How was your experience with YCAN overall?	How was your experience with YCAN overall? No Opinion	How was your experience with YCAN overall? Poor	How was your experience with YCAN overall? Fair	How was your experience with YCAN overall? Good	How was your experience with YCAN overall? Excellent

Other (please specify)

Question Title

* 5. Once your case manager submitted your application to Yellowstone Country Assistance Network, how responsive was the staff to your needs?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

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* 6. Are YCAN services meeting your needs effectively?

Extremely effective

Very effective

Somewhat effective

Not so effective

Not at all effective

Question Title

* 7. How likely is it that you would recommend this service to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Customer Satisfaction Survey

Question Title

* 1. Could you please provide your county of residence?

Question Title

* 2. Could you please share your age with us?

Question Title

* 3. Can you please share with us the name of the organization that assisted you in completing your YCAN application?

Question Title

* 4. How satisfied are you with the assistance provided by the case manager in completing your applications today?

Question Title

* 5. Once your case manager submitted your application to Yellowstone Country Assistance Network, how responsive was the staff to your needs?

Question Title

* 6. Are YCAN services meeting your needs effectively?

Question Title

* 7. How likely is it that you would recommend this service to a friend or colleague?

Question Title

* 8. Is there anything you think we could do better to enhance our service to you?