211 Child Care Satisfaction Survey

Satisfaction Survey

Follow up survey for services received from 211 Child Care

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Thank you for using 211 Child Care Referral Assistance for First Responders. We hope that we were able to assist you to learn about child care options in your community and become aware of resources for your family. Please take a moment to let us know how we did by filling out a brief survey. Your participation is much appreciated.

Name

First Last

Occupation

Overall, how satisfied are you with the services you received from 211 Child Care?(Required)

How would you rate the phone manner of the person you spoke with when you called 211 Child Care.(Required)

In terms of their knowledge of Child Care programs, regulations and quality indicators, the 211 Child Care Referral Specialist was(Required)

Very knowledgeable

Somewhat knowledgeable

Not knowledgeable

Other

Please explain other

In terms of their response to your specific questions and needs, would you say the referral specialist was...(Required)

Very responsive

Somewhat responsive

Not responsive

other

Please explain "other"

Were you able to find child care and enroll your child into a program?

Yes

Care no longer needed.

Haven't decided yet.

If you did not enroll your child, what factors contributed to you not enrolling (check all that apply)(Required)

Would you like to explain?

How satisfied were you with the packet of information sent to you?

Very Satisfied	Somewhat Satisfied	Not Satisfied	Other

Would you like to explain why you were not satisfied with the packet of information or other?

Are you in need of any additional services? (If yes, we will follow up with you)

Yes

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