San Mateo County Cares!

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San Mateo County Cares!

...about providing excellent and courteous public service.

We would like to know if we are succeeding and how we can improve.

Please take a moment to complete this survey.

* = Required
Question	Response
I. Services Provided: (Example: website, phone call, nutrition program, home gardening services etc...)

II. Please rate the following: Response time (i.e: follow up, response time to return calls etc...)	Excellent Good Fair Poor Not Applicable

Courtesy of staff	Excellent Good Fair Poor Not Applicable

Knowledge of the staff assisting you	Excellent Good Fair Poor Not Applicable

Helpfulness of information	Excellent Good Fair Poor Not Applicable

Staff availability	Excellent Good Fair Poor Not Applicable

Information about the process	Excellent Good Fair Poor Not Applicable

Appropriate follow-up	Excellent Good Fair Poor Not Applicable

III. Program Participated in:

IV. Please Rate: Research based information	Excellent Good Fair Poor Not Applicable

Quality of presentation	Excellent Good Fair Poor Not Applicable

* Satisfaction with overall experience	Excellent Good Fair Poor Not Applicable

V. As a result of your participation did you or will you: *Gain useful/new/additional knowledge?*	Yes No

Apply information learned?	Yes No

* Change behavior based on what you have learned?	Yes No

Develop a positive attitude?	Yes No

Improve interest in subject?	Yes No

Share information with others?	Yes No

Recommend program to others?	Yes No

Improve your quality of life?	Yes No

VI. If you answered Fair or Poor to any of the previous questions, please indicate what was unsatisfactory about the service:

VII. In order to improve our service and facilities, we would appreciate your comments and suggestions:

VIII. If you would like to recognize an employee who provided excellent service, please indicate their name and how they assisted you: *Thank you for your comments!*

Survey Verification	For verification that you are human, please enter the following code in the box below: XXAAPR (if the code is not entered correctly, the survey will not be submitted)