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Quality Service Survey for Child Care Services

  1. In order to better serve you, we would like to know about your most recent experience with Child Care Services.


  2. How did you hear about us?
  3. 1. How did you contact us?
  4. 2. Do you feel that you were waited on promptly?


  5. 6. Were your questions answered to your satisfaction?


  6. 7. Did the staff person explain and review your forms with you?


  7. 8. Did you get the information you needed to help you choose a provider?


  8. 9. Do you feel that the staff person acted in your best interest?


  9. 10. Do you feel that the staff person is well supervised and well trained?


  10. Please rate the staff person who helped you on the following items:

  11. Knowledgeable
  12. Competent
  13. Patient
  14. Enthusiastic
  15. Listens carefully
  16. Friendly
  17. Responsive
  18. Courteous

  19. Please complete the boxes below.
  20. Thank you for your input.

  21. Workforce Solutions of West Central TX /Child Care Services is an Equal Opportunity Employer/Program.
    Auxiliary aids and services are available, upon request, to individuals with disabilities. Relay Texas: 1-800-735-2989 or 1-800-735-2988 (Voice).
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