Form 1 VT BICS Draft Questionaire 2-8-16

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

CLEAN - VT BICS Draft Questionnaire 02-08-16

BICS Vermont Grant Resolution Meeting Customer Satisfaction

OMB: 0970-0401

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OMB Control Number: 0970-0401

Expiration: 05/31/2018



Resolution Meeting Questionnaire

Thank you for participating in the Resolution Meeting. Please take a few minutes to complete this questionnaire. Completing this survey is voluntary and answers will be kept confidential. Please circle the response that represents how you feel about this resolution meeting. Your answers will help us improve services for all parents and caretakers. Thank you for taking the time to fill this out!

  1. The meeting was helpful to me.

Strongly Agree

Agree

Disagree

Strongly Disagree







  1. The length of the meeting was:

Too Short

Appropriate

Too Long








  1. All of my concerns were addressed during the meeting.

Strongly Agree

Agree

Disagree

Strongly Disagree







  1. The child support specialist/paralegal did not choose a side during the meeting, remaining neutral.

Strongly Agree

Agree

Disagree

Strongly Disagree



  1. The resolution meeting was fair.

Strongly Agree

Agree

Disagree

Strongly Disagree









  1. I understand what the next steps are.

Strongly Agree

Agree

Disagree

Strongly Disagree



Comments?

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorYana Kusayeva
File Modified0000-00-00
File Created2021-01-22

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