Human Services Online Submission Forms

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LCHS Client Satisfaction Survey

    Client Satisfaction Survey
  2. LCHS Office:
  3. 1. How would you rate the value of LCHS services and programs you received:
  4. 2. How responsive has LCHS been to your questions or concerns about services or programs:
  5. 3. How likely is it that you would recommend LCHS services or programs to a friend or colleague:
  6. 4. I was treated fairly, with dignity and respect, in each interaction.
  7. 5. My input was valued in the process.
  8. 6. Services received helped me improve my situation.
  9. 7. I have learned new skills and/or knowledge from the assistance I received.
  10. 8. I consider myself to be more self-sufficient since receiving services.
  11. 9. Overall, how satisfied or dissatisfied are you with Lyon County Human Services:
  12. Leave This Blank:

  13. This field is not part of the form submission.