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Customer Support Unit (CSU)
Customer Satisfaction Survey
Your feedback is important to us! Please let us know how we can improve your experience by answering a few questions. Your participation is voluntary and your responses will be kept confidential.
1. My service encounter with Customer Support Unit (CSU) was related to: (Check all that apply)
Report a complaint
Assistance with filing grievance with the service provider (agency)
Request for resources i.e., testing sites, supplies, housing providers, emergency financial assistance, etc.
Linkage to services i.e., to find a healthcare provider or other service provider
Other (please specify)
2. How did you communicate with CSU? (Check all that apply)
Phone
E-mail
Mail
In-person
Regarding your service encounter with CSU, using a scale of 1 to 5, please tell us how much you agree or disagree with the following statements:
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
3.
I was satisfied with the assistance/resolution provided to me.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
4.
I received the resources, services and/or other information I needed.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
5.
I received assistance in a timely manner.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
6.
I was treated with respect.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
7.
I was directed to the right person/agency.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
8.
I was satisfied with my overall experience.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
9.
I will most likely contact CSU for assistance in the future.
5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
N/A
10. How can we improve?
11. Additional comments or suggestions?
12. If you would like to discuss any comments further, please share your contact information so that we may contact you at a later time.
CSU appreciates your feedback. Thank you!