Office of the Ombuds Evaluation Form
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The Office of the Ombuds provides confidential, independent, impartial and informal support for families, employees, and Loudoun County Public Schools (LCPS) community members in resolving LCPS issues/concerns.
We need your assistance in evaluating the effectiveness of the Office of the Ombuds. Please take a few minutes to complete the following survey. All responses will remain confidential. Thank you in advance for your participation.
Please correct the following errors.
How did you learn of the Office of the Ombuds?
Google or internet search
Government representative
Media article
Personal referral
Poster/handout
Previous visit
Staff Referral
Website
Word of mouth
Other (Please specify)
Was it easy to find out about how to contact the Office of the Ombuds?
Yes
No
Based on your interactions with the Office of the Ombuds, please rate your level of satisfaction. The Office of the Ombuds... (check only one per line)
was courteous and respectful.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
role was explained to me.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
responded timely to my communication (e.g., phone calls, emails, etc.)
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
carefully listened to my issue/concern.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
understood and offered pertinent and accurate information.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
helped to identify and evaluate options to address my issue/concern.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
worked to remedy the concern/issue promptly.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Overall, I am satisfied with the Office of the Ombuds, regardless of the outcome of my issue/situation. (check only one)
Select any one option below 1 being strongly disagree and 5 being strongly agree.
1
2
3
4
5
If you did not have the option to correspond with the Office of the Ombuds about your issue/concern, what action would you have taken? (check all that apply)
Nothing, remain unsatisfied
Wait until a later date to address
File a lawsuit, grievance, or formal complaint
Leave LCPS
Address directly through a formal channel (i.e., principal, supervisor, HRTD, LCPS Board, etc.)
Other (Please specify)
What was the result of your communication with the Office of the Ombuds? (check all that apply)
The Office of the Ombuds acted and the issue/concern was addressed.
The Office of the Ombuds coached me to manage the issue/concern.
I withdrew my issue/concern.
I was referred to someone else.
What is the likelihood you would recommend the Office of the Ombuds? (check only one)
Select any one option below 1 being very unlikely and 5 being very likely.
1
2
3
4
5
How did the Office of the Ombuds help?
What would you suggest for improvement?
Additional comments:
What would you like to submit?
Question
Comment
Suggestion
Concern
Compliment
Tell us who you are
(Select one or more)
Loudoun County Public Schools Student
Loudoun County Public Schools Parent/Guardian
Loudoun County Public Schools Employee
Community Member
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