Scan Forms for Customer Satisfaction

Data collection options for customer satisfaction fall into three categories. First, there is a set of “standard forms” without an outcome section. Second, there is a set of “plus outcomes” forms that includes both customer satisfaction and an outcome section. Finally, in certain situations it may be appropriate to use the online version of the standard customer satisfaction form. All of these options count toward meeting the state requirement for customer satisfaction reporting.

Standard Customer Satisfaction Forms
These forms have the state-required questions for customer satisfaction, other customer satisfaction questions, and a few open-ended questions for program improvement purposes.

Customer Satisfaction Plus Client Change Forms
These forms have the state-required questions for customer satisfaction plus one or more sections for client change. Formerly these were legal size but have been reduced to letter size.

Standard Customer Satisfaction Form Online
The standard customer satisfaction form implemented as a web survey. Appropriate in limited situations.

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