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2019 CCS Program Survey, F-02124 (06/2020)

1) Instructions

The Comprehensive Community Services (CCS) Program Survey asks about the operations of your CCS in calendar year 2019. The survey is completed annually by CCS programs. Results will be used by the Wisconsin Department of Health Services (DHS) to inform improvements to Wisconsin’s CCS programs, fulfill federal reporting requirements, and direct training and technical assistance efforts.

Complete this online survey by Friday, August 21.

Carefully read these important instructions: 
  • We recommend you answer and record survey questions before you complete the online survey using this Microsoft Word document: “survey worksheet.”
  • If your CCS is part of a certified region (containing more than one county), ensure there is one separate survey completed for your county. Also, if you manage more than one CCS, ensure a separate survey is completed for each county program.
  • Do not skip through the online survey prior to completing it. If you do, it may be unclear when you have submitted your valid and complete survey and someone from DHS will reach out to you. 
  • All questions with a star (*) after them require a response.
  • If you cannot complete the survey all at once, you may exit and return to complete the survey later by selecting the "save and continue" option at the top of any page of the survey.
  • Once the online survey is completed, a copy of your responses from the survey software will be sent to the email address provided within the survey from noreply@surveygizmo.com. Check your spam folder or contact your IT or security professional if you do not receive a copy of the survey. 
The topics in the survey are: 
  • Administration and Co-Enrollment Information
  • CCS Participant Discharge Status
  • CCS Participant Discharge - Transition to Other Services
  • CCS Participant Demographic Information
  • Medical Conditions and Substance Use
  • Use of Evidence-Based Practices
  • Waiting List Information
  • Suicide Risk Screening and Assessment
  • CCS Service Array (NEW)
  • Recommendations for 2020

If you have any questions or difficulties with the survey, please contact Christopher Keenan at christopher.keenan@dhs.wisconsin.gov. Thank you!