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MMDHD Children's Special Health Care Services (CSHCS)

'Thank you' for visiting Mid-Michigan District Health Department. Please tell us about your experience using our Children's Special Health Care Services (CSHCS) by answering the following questions. We are not asking you to identify yourself in this survey and ask that you be honest in your responses.

1. Please select your county of residence. *This question is required.

Please enter an 'other' value for this selection.

2. How did you hear or learn about the CSHCS Program?

Please enter an 'other' value for this selection.

3. Please rate your experience when calling or visiting the health department by answering the following statements:

Space Cell	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Phone calls are returned promptly	Phone calls are returned promptly: Strongly Agree	Phone calls are returned promptly: Agree	Phone calls are returned promptly: Disagree	Phone calls are returned promptly: Strongly Disagree	Phone calls are returned promptly: Not Applicable
CSHCS staff is helpful & professional	CSHCS staff is helpful & professional: Strongly Agree	CSHCS staff is helpful & professional: Agree	CSHCS staff is helpful & professional: Disagree	CSHCS staff is helpful & professional: Strongly Disagree	CSHCS staff is helpful & professional: Not Applicable
CSHCS staff answered all my questions	CSHCS staff answered all my questions : Strongly Agree	CSHCS staff answered all my questions : Agree	CSHCS staff answered all my questions : Disagree	CSHCS staff answered all my questions : Strongly Disagree	CSHCS staff answered all my questions : Not Applicable
The information shared by the CSHCS staff is easy to understand	The information shared by the CSHCS staff is easy to understand: Strongly Agree	The information shared by the CSHCS staff is easy to understand: Agree	The information shared by the CSHCS staff is easy to understand: Disagree	The information shared by the CSHCS staff is easy to understand: Strongly Disagree	The information shared by the CSHCS staff is easy to understand: Not Applicable
CSHCS staff is knowledgeable about available resources	CSHCS staff is knowledgeable about available resources : Strongly Agree	CSHCS staff is knowledgeable about available resources : Agree	CSHCS staff is knowledgeable about available resources : Disagree	CSHCS staff is knowledgeable about available resources : Strongly Disagree	CSHCS staff is knowledgeable about available resources : Not Applicable

4. Please rate your experience when calling or visiting the health department by answering the following statements:

Space Cell	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
If a home visit was scheduled, the CSHCS staff arrived on time	If a home visit was scheduled, the CSHCS staff arrived on time: Strongly Agree	If a home visit was scheduled, the CSHCS staff arrived on time: Agree	If a home visit was scheduled, the CSHCS staff arrived on time: Disagree	If a home visit was scheduled, the CSHCS staff arrived on time: Strongly Disagree	If a home visit was scheduled, the CSHCS staff arrived on time: Not Applicable
The CSHCS representative was helpful in coordinating services i need	The CSHCS representative was helpful in coordinating services i need: Strongly Agree	The CSHCS representative was helpful in coordinating services i need: Agree	The CSHCS representative was helpful in coordinating services i need: Disagree	The CSHCS representative was helpful in coordinating services i need: Strongly Disagree	The CSHCS representative was helpful in coordinating services i need: Not Applicable
The CSHCS nurse was helpful in creating a written plan of care	The CSHCS nurse was helpful in creating a written plan of care: Strongly Agree	The CSHCS nurse was helpful in creating a written plan of care: Agree	The CSHCS nurse was helpful in creating a written plan of care: Disagree	The CSHCS nurse was helpful in creating a written plan of care: Strongly Disagree	The CSHCS nurse was helpful in creating a written plan of care: Not Applicable
The program renewal process was easy to complete	The program renewal process was easy to complete: Strongly Agree	The program renewal process was easy to complete: Agree	The program renewal process was easy to complete: Disagree	The program renewal process was easy to complete: Strongly Disagree	The program renewal process was easy to complete: Not Applicable
Program renewals are completed in a timely manner	Program renewals are completed in a timely manner: Strongly Agree	Program renewals are completed in a timely manner: Agree	Program renewals are completed in a timely manner: Disagree	Program renewals are completed in a timely manner: Strongly Disagree	Program renewals are completed in a timely manner: Not Applicable

5. If you disagree with any of the statements above, please describe here so we can make improvements.

6. What changes do you think could be made to improve your experience with the health department?