Community Service Options, Inc.

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Customer Satisfaction Survey

You may have received services from Community Service Options, Inc. We are interested in serving you better in the future. Your answers, to the questions below will help us to plan services that meet your needs.

Please take time to complete this survey about your experience with the services that CSO provides. This survey may be completed by the consumer or a guardian on behalf of the consumer. Thank you for your participation.

Type Y, for “yes” if you agree or N, for “no” if you disagree.
1. CSO helps me to identify my goals
2. CSO assists me to do what I want to do.
3. CSO helps and supports me to reach my goals
4. CSO responds promptly when I have a problem
5. CSO is successful in getting services I need
6. CSO staff is knowledgeable
For "No” responses, please explain what happened and how CSO failed you.

Now, please tell us what you think of our services!
1. What services do you receive now?

2. Are our current services meeting your needs?
3. Are you doing what you want to do?
4. How can our services improve?

5. What other/new services would you like?

6. What makes you happy?

Tell Us About You! (optional)
What is your name?
Address

Telephone number
Email Address

CSO, Inc. 7575 South Kostner Ave., Chicago, Illinois 60652 (Phone) 773-884-1000 (Fax) 773-838-9362 (TDD) 773-884-1002