New Submission

California Children’s Services Evaluation of Services
We strive to provide excellent customer service and value your opinion.
Based on your experiences this past year, please answer the following:

Evaluacion de Servicios de California Children’s Services
Nos esforzamos por brindar un excelente servicio al cliente y valoramos su opinión.
Según sus experiencias del año pasado, responda lo siguiente:

Mail Correspondence / Correspondencia Por Correo
1. Did you understand the materials you received by mail?field type radio button
¿Entendió la información que le enviamos?
1. Did you understand the materials you received by mail?Yes / SiNoN/A
2. Do you know whom to call if you have a question or problem with services?field type radio button
¿Sabe a quién llamar si tiene alguna pregunta o problema con los servicios?
2. Do you know whom to call if you have a question or problem with services?Yes / SiNoN/A

Communication by Phone or Walk-in / Comunicación Telefónica o Sin Previa Cita
3. Was our staff professional?field type radio button
¿Fue professional nuestro personal?
3. Was our staff professional?Yes / SiNoN/A
4. Were you and your family treated with respect?field type radio button
¿Fue tratado usted y su familia con respeto?
4. Were you and your family treated with respect?Yes / SiNoN/A
5. Were your needs met?field type radio button
¿Fueron satisfechas sus necesidades?
5. Were your needs met?Yes / SiNoN/A
6. Do you have trust and confidence in your case workers?field type radio button
¿Tiene confianza y seguridad en sus trabajor(a) de caso?
6. Do you have trust and confidence in your case workers?Yes / SiNoN/A
7. Were your calls returned within one business day?field type radio button
¿Se devolvieron sus llamadas dentro de un día laboral?
7. Were your calls returned within one business day?Yes / SiNoN/A

Please select the box below that indicates your overall satisfaction with the services you received over the past year:field type radio button
Seleccione la casilla a continuación que indica su satisfacción general con los servicios que recibió durante el año pasado:
Please select the box below that indicates your overall satisfaction with the services you received over the past year:
On a scale of 1 to 10 how likely is it that you would recommend the CCS program to a friend, family member, or a person in need of our services?field type radio button
En una escala del 1 al 10, ¿qué probabilidades hay de que recomiende el programa CCS a un amigo, familiar o personas que necesiten nuestros servicios?
On a scale of 1 to 10 how likely is it that you would recommend the CCS program to a friend, family member, or a person in need of our services?12345678910
Not likely - Nada probable Very likely - Muy probable
Please explain why you chose the above score:field type multi line
Explique por qué eligió la puntuación anterior:
Would you like to recognize someone at the CCS program who provided you with great service?field type multi line
¿Le gustaría dejar un comentario para alguien en el programa de CCS que le brindó un gran servicio?
Would you like to be contacted regarding to this survey?field type radio button
Si desea que nos comuniquemos con usted con respecto a esta encuesta, proporcione su información a continuación:
Would you like to be contacted regarding to this survey?Yes / SiNo
Please provide us with your information below / Por favor proporcione su información a continuación:
Name:field type single line
Nombre:
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Email:field type email
Email:
Phone:field type single line
Teléfono:
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