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Office Visit Customer Survey

  1. Placer County Department of Child Support Services

    Please answer the following questions regarding your recent office visit experience with the Placer County Department of Child Support Services.

  2. 1. I am the:*

  3. 2. I am:*

  4. 3. I am:*

  5. 4. My most recent contact with a Child Support Professional was made:

    Check those that apply.

  6. 5. My wait time to see someone regarding my issue was:

  7. 6. I was seen as:

  8. 8. Please rate your recent office visit experience with the Placer County Child Support Services.

  9. My wait time for assistance was reasonable.

  10. Those who assisted me were knowledgeable.

  11. I was treated with respect.

  12. I had enough time to discuss my situation.

  13. I was given answers and explanations to my questions.

  14. I was provided with options for my situation.

  15. The outcome seemed fair to all involved parties.

  16. The Department staff were well-organized.

  17. It was convenient and easy to access a Child Support Professional.

  18. I understand the process better after this interaction.

  19. My child benefits from the services provided by the Department.

  20. My interaction with security was good.

  21. I appreciate the Department’s use of security to assist in my safety.

  22. The lobby area was comfortable.

  23. Without the help of the Department, my child might not receive the support he/she is entitled to.

  24. I believe that the Department helps me to provide my child with support.

  25. My overall experience was positive.

  26. 9. Contact Information (voluntary, but will help us improve our services and is confidential)

  27. Leave This Blank:

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