The Children's Haven Satisfaction Survey
Please take a moment to fill out this survey
What best describes your role in this case or family?
*
Parent
Relative
Foster Parent
Other
Did you personally receive or participate in any program services?
*
Yes
No
If yes, please click on the program you participated in.
*
Cherokee CASA
Wellstar Family Visitation Center
PCA Cherokee, In- Home Services
Were the staff responsive to questions and concerns?
*
Always
Most of the time
Some of the time
Never
Don't know or not sure
How much say did you or family members have in planning the services received?
*
A lot
Some
Not very much
None
Don't know or not sure
Were services provided at a convenient time and location?
*
Always
Sometimes
Never
Don't know or not sure
Thinking now about the reason you or family members were referred for services, would you say these service were:
*
Very helpful
Somewhat helpful
Not very helpful
Don't know or not sure
As a result of receiving services, would you say you or the family situation is:
*
A lot better
A little better
About the same
A lot worse
A little worse
Did program staff help you find other community-based services to help you or family members?
*
Yes
No
Based on the program you participated in, overall satisfaction of service
*
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Not Applicable
Cherokee CASA
Wellstar Family Visitation Center
PCA Cherokee; In Home Services
How can we improve our service?
Is there someone you want to acknowledge that you feel was a great support to you or family members?
Submit Survey
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