Recently, you received services from a staff member of CAPS. We would value your feedback about those visits. This form can be returned to CAPS by clicking on the "Send Button" at the bottom of this form. If you choose, you may include your name and email address in the comments section if you would like to be contacted, otherwise this form has been designed to block the identity of the sender so that your feedback will be received by CAPS anonymously.
Please click on the buttons that indicates your level of AGREEMENT with each statement.
Thank you very much for your assistance in answering this survey.
Your comments will assist us in improving CAPS and the services we provide.
If you have any questions about this form or the answers your provided, you may send questions to the CAPS webmaster