Child Protective Services Case Closure Survey
Case Information
Case Number
Date of Closure
Caseworker Name
Relationship to Child
Parent/Guardian
Child
Other Relative
Other
Experience with CPS
How would you rate your overall experience?
Excellent
Good
Fair
Poor
Were you treated with respect by CPS staff?
Yes
No
Were you kept informed about case progress?
Yes
No
Were services and resources provided as needed?
Yes
No
Feedback
What did CPS do well?
What could CPS improve?
Additional comments or suggestions