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Customer Satisfaction Survey

Lake County Department of Social Services

Customer Satisfaction Survey


We are dedicated to enhancing the quality of our services.  We are requesting that you take a few minutes to complete this survey.  Your responses will help us to rate the quality of our services and to make improvements as well.

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What type of service do you receive?
CalWORKS, Food Stamps, Medi-Cal, CMSP, General relief
Adult Services (IHSS, Adult Protective Services)
Children's Services
Housing
Other
Did you have difficulty while applying for services?
Yes
No
N/A
Did you receive information about other services?
Yes
No
N/A
Was the information explained clearly?
Yes
No
N/A
Were you able to ask questions?
Yes
No
N/A
Were the questions answered?
Yes
No
N/A
Were you able to voice problems?
Yes
No
N/A
Were the problems resolved?
Yes
No
N/A
Was the resolution handled in a professional manner?
Yes
No
N/A
Please explain any "no" answers:
Who did you deal with?
Overall Satisfaction:
Excellent
Good
Fair
Poor
We would appreciate your comments/suggestions:
Name:
Telephone: