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Surveys
2011
June
S
SC Questionnaire
SC Questionnaire
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What do you like best about working with Esperanza Services?
Proactive Staff
Effective Communication
Good Results
Reputation
None
Other
How fast do you feel your questions or service concerns are usually addressed?
Within 24 Hours
Within 48 Hours
Within 1 Week
More Than One Week
Of all the areas, Esperanza Services provides support in, which area yielded the best results for your consumer(s)?
Health Issues
Addressing Unique or Challenging Client Issues
Safety Issues
Court Follow Ups
Parent Education
Community Resource Utilization or Consumer Social Awareness
Other
How would you rate your satisfaction with Esperanza Services' progress reports?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
How would you rate your satisfaction with our response to the needs of your client(s)?
Highly satisfied with the response to client(s) needs
Satisfied with the response to client(s) needs
Dissatisfied with the response to client(s) needs
Highly dissatisfied with the response to client(s) needs
How would you rate your overall satisfaction with our quality of service?
Highly Satisfied
Satisfied
Neutral
Dissatisfied
Highly Dissatisfied
How do we rate in comparison to other vendors that offer the same services?
Much Higher
Somewhat Higher
Same
Somewhat Lower
Much Lower
Would you or do you recommend that your colleagues utilize our services?
Yes
No. If not, why?
Would you refer consumers to Esperanza Services in the future?
Yes
No. If not, why?
What service area(s) do you feel we need to improve, if any?
Overall, how would you rate our agency as a whole? "1" as poor "10" as excellent
1
2
3
4
5
6
7
8
9
10
What are your preferred methods of communication with Esperanza Services?
By e-mail
By Phone
In-person
If you would like us to address any of your concerns individually, please provide your name and contact information and we will contact you in a timely manner.
First Name
:
Last Name
:
Phone
:
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