How Are We Doing?
Consumer Satisfaction Survey from DEDICATED HEALTH CARE SERVICES
Sign in to Google to save your progress. Learn more
Email *
Email
*
I can reach my CSW when I need to talk.
*
The staff addresses my needs in a timely manner.
*
Required
Since beginning treatment I can better handle my situation.
*
Are you engaged in the following services? Check all that applies.
*
Required
Have you received assistance with applying for any benefits.
*
Staff respect my decision even if they do not agree with them
*
I am happy with the services I receive from DCHS
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DEDICATED CARE HEALTH SERVICES, INC. Report Abuse