First SATISFACTION SURVEY

Social worker: ______Date: ______Name (optional): ______

Please check one column to the right of each question. Thank you! / NOT SATISFIED VERY SATISFIED
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Was the information about adoption presented in a manner that was comfortable and understandable to you?
Were you treated in a courteous and respectful manner by our staff?
Was help available to you by your worker when you needed it?
Were all your questions about adoption answered?
Were you given an adequate amount of training about adoption issues?
Were the services performed in a timely manner?

Was the home study / adoption process what you expected based on the initial information session you attended?

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If not, in what ways was the process different than expected?

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______

What steps in the home study / adoption process need improvement?

______

______

What was the most difficult part of the home study / adoption process? (i.e. Paperwork, regulations/laws, personal questions etc.)

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What was the easiest part of the process?

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How can we improve the home study / adoption process in the future?

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Would you like to meet and/or keep in contact with other WCS-CAS families? If so, please let your social worker or Sandra Couillard know. You can be given an adoption mentor, or just be “buddied up” with other families in your area. You can indicate your preferences below and on the reverse side if additional space is needed.

We appreciate your taking the time to fill out this first survey. Upon completion of your adoption, you will receive a follow-up survey. It is important for us to receive both surveys back, so that we can make whatever improvements are needed to our services. Thank you.Please return to Sandra M. Couillard, LCSW at the address below.

~ A Family for Every Child~

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