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Community Coordinated Care for Children, Inc. (4C)
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Hello:
Your opinion about the quality and value of our services is very important to us.  Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
* County of residence?
 
 
 
How would you describe yourself?
 
Parent
 
Provider
 
Community Partner
 
Other
 
 
 
 
* Was this your first visit or contact with 4C?
 
Yes
 
No
 
 
 
Your preferred method of contact with 4C is?
 
Office Visit
 
Telephone
 
Website
 
Other
 
 
 
Which departments did you work with?
   

 
 
If you had contact with 4C staff, how satisfied are you with the following:
Strongly Disagree Disagree Neutral Agree Strongly Agree
The staff member answered all of my questions?
The staff member was courteous and professional?
I was treated with respect?
Overall, I am satisfied with the services I received?
 
 
 
Tell us what 4C did well.
   
 
 
 
Tell us what 4C could improve.
   
 
 
Would you like someone to contact you?
* First Name : 
* Last Name : 
Phone : 
Email Address : 
 
For questions, contact 4C at 407-522-2252.  For information specific to this survey, please state that you need survey assistance.
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