Public Health - Muskegon County Children's Special Health Care Services Client Service Survey
Please take a moment to fill out this survey
Overall satisfaction of service
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Quickness
How did you hear about CSHCS?
Family
Friend
Provider
Other
If other, please explain.
Overall, how helpful has the CSHCS program been to you/your family?
Extremely Helpful
Very Helpful
Helpful
Somewhat Helpful
Not Helpful
Would you recommend our program to others?
Yes
No
Which of our services have you used? (Select all that apply)
Transportation/Lodging Reimbursement
Nurse Plan of Care/Case Management
Assistance with Medical Billing
Assistance with Prescriptions/Medical Supplies
Adding a Provider to Authorized Provider List
Assistance with CSHCS Program Enrollment/Renewal
Children with Special Needs Fund
Sibshops
Diagnostic Referral/Authorization
Family Center/ Family Phone Line
Other
If other, Please explain.
Do you have any suggestions on how we can better help to get your/your child's needs met?
Please provide your name and contact information if you would like someone to contact you regarding your response.
Submit
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