Child Support Survey Instructions Please answer all questions in the survey Please Note: All answers given on this survey are anonymous

I Pay child support	Receive child support	Other
I identify as Male	Female	Other	Prefer not to answer
I am 25 or younger	26-50	51 or older	Prefer not to answer

My most recent contact with a SES office was:
In office	Over the Phone	In court	Other

My most recent interaction was with:
SES Administration	Bridgeport SES	Call center
Central Processing Unit	Danbury SES	Hartford SES
Middletown SES	New Britain SES	New Haven SES
Norwich SES	Putnam SES	Rockville SES
Stamford SES	Waterbury SES	I am not sure

The reason for my contact was (select all that apply):
Audit	Closing my case	Contempt	Changing my support order
Daycare	Income Withholding	Medical	Questions about payments
Review of my case		Other

Please rate your experience with SES:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
SES staff was knowledgeable about child support requirements
SES staff was knowledgeable about my child support case
SES staff treated me professionally
SES staff treated me with respect
My child support question/Issue was resolved in a timely manner

What additional feedback would you like to give SES about your experience?

Thank you for giving us your feedback. We value your responses and this will help us evaluate and improve our child support services.