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.