Children's Special Health Care Services Client Survey

Your feedback is important to us for better delivery of services.

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* 1. Was our staff helpful and courteous?

Yes

No

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* 2. Upon receiving notification of eligibility and/or renewal by the State, were you contacted by our staff in a reasonable amount of time?

Yes

No

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* 3. If you left a message to have staff call you back, did they respond in a reasonable amount of time?

Yes

No

N/A

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* 4. At the time of initial enrollment, were the policies of CSHCS clearly explained to you?

Yes

No

N/A

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* 5. If a particular situation came up involving CSHCS that was confusing to you, were you able to get it resolved?

Yes

No

N/A

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* 6. Do you have billing problems/issues as a result of participating in the CSHCS program?

Yes

No

N/A

If so, explain:

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* 7. Do you utilize Out-of-State care?

Yes

No

If so, briefly describe your experience in obtaining OOS care:

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* 8. How did you hear about Children's Special Health Care Services?

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* 9. Do you have any recommendations or suggestions in helping us better serve you?