Thank you for giving Cochise Health and Social Services the opportunity to serve you better.  Please help us by taking a moment to tell us about the service you have received so far.  Simply indicate your degree of agreement with each of the statements that follow.

We appreciate our relationship and want to make sure we fully meet your expectations.  If you have any issues you would like to discuss over the phone, please feel free to contact us at 520-432-9400.

Sincerely,

Carrie Langley
Health Director

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* 1. Where did you receive services?

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* 2. Which CHSS service did you access? 

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* 3. Please indicate the contact date

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* 4. CHSS staff are knowledgeable.

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* 5. CHSS staff answered all of my questions/concerns.

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* 6. CHSS staff adhered to professional standards of conduct.

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* 7. CHSS staff responded to my inquiries in a timely manner.

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* 8. Overall, I am very satisfied with CHSS staff.

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* 9. Please add any other comments or suggestions you wish to share with us:

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* 10. If you wish to be contacted by a member of CHSS management, please provide us with your name and phone number or email address:

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