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Quality Service Survey for Child Care Services

  1. In order to better serve you, we would like to know about your most recent experience with Child Care Services.

  2. How did you hear about us?

  3. 1. How did you contact us?

  4. 2. Do you feel that you were waited on promptly?

  5. 6. Were your questions answered to your satisfaction?

  6. 7. Did the staff person explain and review your forms with you?

  7. 8. Did you get the information you needed to help you choose a provider?

  8. 9. Do you feel that the staff person acted in your best interest?

  9. 10. Do you feel that the staff person is well supervised and well trained?

  10. Please rate the staff person who helped you on the following items:

  11. Knowledgeable

  12. Competent

  13. Patient

  14. Enthusiastic

  15. Listens carefully

  16. Friendly

  17. Responsive

  18. Courteous

  19. If you would like for someone to contact you about your experience or to follow up with your concerns, please complete the boxes below.

  20. Thank you for your input.

  21. Workforce Solutions of West Central TX /Child Care Services is an Equal Opportunity Employer/Program.
    Auxiliary aids and services are available, upon request, to individuals with disabilities. Relay Texas: 1-800-735-2989 or 1-800-735-2988 (Voice).

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