How are we doing?

We are committed to providing quality customer service. Please complete the Human Services Customer Experience Survey to share your feedback, suggestions for improvement, complaints, or comments.

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* 1. For which program are you providing feedback? Check all that apply.

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* 2. I was treated with respect during my visit.

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* 3. Staff explained program details in a way I understand.

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* 4. Staff listened and answered my questions or concerns.

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* 5. I felt supported to meet my goals.

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* 6. Staff was timely with their communication.

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* 7. Overall satisfaction with service.

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* 8. What are we doing well?

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* 9. How can we better serve you?

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* 10. Reason for visit:

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* 11. Name of staff member(s) who assisted you?

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* 12. Date that you visited?

Date

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* 13. (Optional) Name:

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* 14. (Optional) Phone Number:

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* 15. (Optional) Email:

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* 16. Would you like us to contact you?

0 of 16 answered
 

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