By participating in a survey, you consent to the transfer of the information you submit to California Department of Child Support Services. The information collected is for internal research purposes only and by providing your name and email or phone number it is possible you may receive a phone call back from one of our staff members following up on your responses. The information you provide will not be publicly associated with your account. However, we may share the results of this survey with the public in anonymized or aggregated forms.

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* 1. Name

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* 2. Contact Information

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* 3. Case Number or Participant ID:

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* 4. Office Location

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* 5. You are:

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* 6. Purpose of your contact?

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* 7. How did you most recently contact the Child Support program?

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* 8. The Child Support Professional I spoke with treated me with respect.

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* 9. The Child Support Professional was knowledgeable and responsive to my questions.

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* 10. The Child Support Professional I spoke with provided me with the process or next steps as it pertains to my case.

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* 11. The response time from my Child Support Professional was reasonable.

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* 12. It was convenient and easy to access a Child Support Professional.

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* 13. It was convenient and easy to access the child support information I needed.

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* 14. Please rate your most recent experience.

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* 15. Comments:

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