Customer Satisfaction Survey - Department of Health & Social Services

I got the information or services that I needed

Service provided was clear and understandable

The staff was friendly and polite

The staff was well informed

The staff was helpful

I was served in a timely manner

How would you rate your overall experience

Department and Location Visited

Program or Services Provided

Lighthouse Afterschool Site if applicable

Any Additional Comments

Would you like the supervisor to contact you

Yes
No

Name and Phone Number

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