CACB Self-Help Survey

Thank you for helping the court improve its services by briefly answering the following questions:

Question Title

* 1. Please choose your primary language from the list below.

English

Spanish

Arabic

Mandarin

Japanese

Armenian

Vietnamese

Russian

Korean

Farsi

Other (please specify):

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* 2. Please choose your age from the selection below:

[18-35]

[36-50]

[51-65]

[66+]

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* 3. When did you visit the free self-help center or clinic?

I visited on:

Date

Time

AM/PM

Question Title

* 4. Which self-help location did you visit?

Los Angeles Self-Help Resources Center

San Fernando Valley Self-Help Desk

Northern Division Consumer Debt and Bankruptcy Clinic (Santa Barbara)

Santa Ana Legal Clinic

Riverside Joint Federal Pro Se Clinic

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* 5. Was this your first time visiting a self-help desk?

Yes

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* 6. How did you find out about the Self-Help Center?

Internet search

U.S. Bankruptcy Court website

Friend

Attorney

Bankruptcy Clerk's Office

Judge (Please state judge's name in comment field below)

Other

Comment:

Question Title

* 7. Up to now, which resources have you used to find the bankruptcy information and assistance you have needed?

U.S. Bankruptcy Court website

A different website

A book

Please specify the website, book, or any other resources you used:

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* 8. Did you speak to a Court staff person in the Clerk's Office?

Yes

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* 9. Did you meet with an attorney during your visit?

Yes

Comments:

Question Title

* 10. Did the Self-Help Center staff or attorney refer you to outside resources or agencies that could help you?

Yes