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Customer Satisfaction Survey
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This form has been modified since it was saved. Please review all fields before submitting.
Which office did you visit?
*
-- Select One --
Leesburg Office - Shenandoah Building
Sterling Office - Eastern Family Services Center
What services were you seeking?
*
-- Select One --
Child Care
Community Support Services
Homeless Prevention
Information and Referral
Public Benefits
Veteran Services
VIEW
Other
If "Other" please list service
I feel welcomed at the Department of Family Services (DFS)
*
-- Select One --
Strongly Disagree
Disagree
Agree
Strongly Agree
I feel comfortable asking questions about services
*
-- Select One --
Strongly Disagree
Disagree
Agree
Strongly Agree
I feel respected by DFS Staff
*
-- Select One --
Strongly Disagree
Disagree
Agree
Strongly Agree
Please enter the name of the staff member for whom you are completing this survey
The hours that DFS offers services works for me
*
-- Select One --
Yes
No
My case worker responds timely to calls and emails
-- Select One --
Strongly Disagree
Disagree
Agree
Strongly Agree
Interpretation/translation services are easily available
*
-- Select One --
Yes
No
N/A
DFS helps me access other resources in the community
*
-- Select One --
Strongly Disagree
Disagree
Agree
Strongly Agree
N/A
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