2. LYON COUNTY HUMAN SERVICES (LCHS)
   Client Satisfaction Survey
4. LCHS Office:

   1. Dayton

   1. Fernley

   1. Silver Springs

   1. Yerington
6. Other Community (if not listed above):
8. Services received:
9. Who assisted you?
11. 1. How would you rate the value of LCHS services and programs you received:

    1. 5 = Excellent
    2. 4
    3. 3
    4. 2
    5. 1 = Poor
13. 2. How responsive has LCHS been to your questions or concerns about services or programs:

    1. 5 = Extremely responsive
    2. 4
    3. 3
    4. 2
    5. 1 = Not at all responsive
15. 3. How likely is it that you would recommend LCHS services or programs to a friend or colleague:

    1. 5 = Extremely Likely
    2. 4
    3. 3
    4. 2
    5. 1 = Not Likely At All
17. 4. I was treated fairly, with dignity and respect, in each interaction.

    1. 5 = Strongly Agree
    2. 4
    3. 3
    4. 2
    5. 1 = Strongly Disaagree
19. 5. My input was valued in the process.

    1. 5 = Strongly Agree
    2. 4
    3. 3
    4. 2
    5. 1 = Strongly Disagree
21. 6. Services received helped me improve my situation.

    1. 5 = Strongly Agree
    2. 4
    3. 3
    4. 2
    5. 1 = Strongly Disagree
23. 7. I have learned new skills and/or knowledge from the assistance I received.

    1. 5 = Strongly Agree
    2. 4
    3. 3
    4. 2
    5. 1 = Strongly Disagree
25. 8. I consider myself to be more self-sufficient since receiving services.

    1. 5 = Strongly Agree
    2. 4
    3. 3
    4. 2
    5. 1 = Strongly Disagree
27. 9. Overall, how satisfied or dissatisfied are you with Lyon County Human Services:

    1. 5 = Very Satisfied
    2. 4
    3. 3
    4. 2
    5. 1 = Very dissatisfied
29. How could LCHS improve services:
Leave This Blank:


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