Customer Satisfaction Survey - General
1.
I was able to receive services at a time convenient for me.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
2.
Staff answered my questions or referred me to someone who could.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
3.
The office/clinic was clean.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
4.
Staff took time to explain things to me in a way I understand.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
5.
Staff respected my cultural and ethnic background.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
6.
I felt comfortable sharing my feelings/experiences with staff.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
7.
I felt safe receiving services or working with staff from LCGHD.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
8.
I was able to receive services in a language I understand.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
9.
I feel I was treated fairly.
Strongly Disagree
Somewhat Disagree
Neither
Somewhat Agree
Strongly Agree
Not Applicable
10.
Do you have anything else you'd like to share?