Surveys 2015 May C CCRR CSS

CCRR CSS Community Coordinated Care for Children, Inc. (4C)

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Exit Survey

Hello: Your opinion about the quality and value of our services is very important to us.  Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.  I Agree       * County of residence? -- Select --OrangeOsceolaOther         How would you describe yourself?   Parent   Provider   Community Partner   Other         * Was this your first visit or contact with 4C?   Yes   No       Your preferred method of contact with 4C is?   Office Visit   Telephone   Website   Other       Which departments did you work with? Child Care Food ProgramChild Care Resource and Referral Education and TrainingEligibilityInformation Management (Reimbursement)Head Start or Early Head StartVoluntary Pre-KindergartenOther          If you had contact with 4C staff, how satisfied are you with the following: Strongly Disagree Disagree Neutral Agree Strongly Agree The staff member answered all of my questions? The staff member was courteous and professional? I was treated with respect? Overall, I am satisfied with the services I received?       Tell us what 4C did well.       Tell us what 4C could improve.     Would you like someone to contact you? * First Name :  * Last Name :  Phone :  Email Address :

For questions, contact 4C at 407-522-2252.  For information specific to this survey, please state that you need survey assistance.