Referral Sources Survey
Thank you for helping us improve by completing this short survey!
1. What type of referring agency are you with?
CMH
MDHHS
Court
Private Agency
Other
2. I know how to make referral(s) to CFS program(s).
Yes
No
Unsure
3. Have you made a referral to Child & Family Services (CFS) in the past 12 months?
Yes
No
4. Would you make a referral to CFS in the future?
Yes
No
Other
Comment:
5. Phone calls/emails/texts and any issues are responded to/addressed promptly.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Comment:
6. CFS Staff members are accessible and knowledgeable.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Comment:
7. CFS staff members are helpful and courteous and treat me/my staff members with respect.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Comment:
8. Clients referred to CFS receive quality services.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Comment:
9. My overall satisfaction with CFS services is:
Very Satisfied
Mostly Satisfied
Neutral
Mildly Dissatisfied
Quite Dissatisfied
Comment:
10. Please share with us any additional comments, positive feedback, or suggestions that will help us improve that you would like to share.
11. If you would like a response, please enter your name and email or phone number here:
Thank You!!
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