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Health and Social Services Customer Satisfaction Survey

  1. Thank you for giving Cochise Health and Social Services/Vital Records (CHSS) the opportunity to serve you better. Please help us by taking a moment to tell us about the service you have received so far. We appreciate our relationship and want to make sure we fully meet your expectations. Simply indicate your degree of agreement with each of the statements that follow.
  2. Where did you receive services?
  3. CHSS Staff Are Knowledgeable
  4. CHSS Staff Answer All of My Questions/Concerns
  5. CHSS Staff Adhered to Professional Standards of Conduct
  6. CHSS Staff Respond to My Inquiries in a Timely Manner
  7. Overall, I Am Very Satisfied with CHSS Staff
  8. Leave This Blank:

  9. This field is not part of the form submission.