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Provider Satisfaction Survey
Child Care and Family Services
Child Care Resource and Referral
We want to know what you think about the services you have received from Child Care and Family Services, Child Care Resource and Referral.
Your answers are completely confidential. This will let us know how our services meet the needs of the community in Clark, Cowlitz, Klickitat, Skamania and Wahkiakum Counties.
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2
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What county are you located in?
| Clark |
| Cowlitz |
| Klickitat |
| Skamania |
| Wahkiakum |
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3
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Which best describes your program?
| Childcare center |
| Family Child Care |
| Preschool Program |
| School Age Program |
| (FCC) Respite Exempt |
| (CCC) Emergency Respite Center (Crisis Nursery) |
| Other, please specify: |
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4
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Which one of our services did you recently receive?
| Information on the Phone |
| STARS Training Information |
| Site Visit |
| Resources from the Lending Library |
| Completed a Vacancy Update |
| An Average Rate Report |
| Number of Referrals Report |
| Information on Licensing |
| Completed a Partial Program Update |
| Completed a Full Program Update |
| Other, please specify: |
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5
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I was treated with respect by the staff.
| Strongly Agree |
| Agree |
| Disagree |
| Strongly Disagree |
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6
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| Strongly Agree |
| Agree |
| Disagree |
| Strongly Disagree |
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7
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The information provided to me was useful.
| Strongly Agree |
| Agree |
| Disagree |
| Strongly Disagree |
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8
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Did you make any positive changes to your program as a result of the information ans support provided?
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Optional. Please provide additional details or feedback about the changes you made:
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9
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Overall, how satisfied were you with the service?
| Extremely Satisfied |
| Satisfied |
| Dissatisfied |
| Extremely Dissatisfied
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10
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Are there any resources or services that you would like to see offered in the future? Is so, please tell us what they are:
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11
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Comments are greatly appreciated! Is there anything else you would like to share with us?
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