2. Which office did you visit?*
   -- Select One --Leesburg Office - Shenandoah BuildingSterling Office - Eastern Family Services Center
4. What services were you seeking?*
   -- Select One --Child Care Community Support ServicesHomeless Prevention Information and ReferralPublic BenefitsVeteran ServicesVIEWOther
6. If "Other" please list service
8. I feel welcomed at the Department of Family Services (DFS)*
   -- Select One --Strongly DisagreeDisagreeAgreeStrongly Agree
10. I feel comfortable asking questions about services*
    -- Select One --Strongly DisagreeDisagreeAgreeStrongly Agree
12. I feel respected by DFS Staff*
    -- Select One --Strongly DisagreeDisagreeAgreeStrongly Agree
14. Please enter the name of the staff member for whom you are completing this survey
16. The hours that DFS offers services works for me*
    -- Select One --YesNo
18. My case worker responds timely to calls and emails
    -- Select One --Strongly DisagreeDisagreeAgreeStrongly Agree
20. Interpretation/translation services are easily available*
    -- Select One --YesNoN/A
22. DFS helps me access other resources in the community*
    -- Select One --Strongly DisagreeDisagreeAgreeStrongly AgreeN/A
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