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* 1. What are your monthly authorized IHSS hours?

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* 2. Do you have a share of cost for IHSS or Medi-Cal?

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* 3. How many IHSS caregivers work for you?

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* 4. In the last year, did you call the IHSS program or come into the IHSS office?

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* 5. Who did you call / visit?  check all that apply

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* 6. Was your call returned within 48 hours?

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* 7. How quickly were we able to resolve your issue?

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* 8. Please let us know if you've experienced any of the following issues (check all that apply) in the past year

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* 9. Have you heard about the 250% Working Disabled Program?

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* 10. Please tell us your story about issues with IHSS in 2016.

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