2026 Consumer Perception Survey for Providers and Staff
ONLINE SURVEY LINKS AND QR CODES
Place at reception areas.
The online surveys are available in all eleven-threshold languages (Arabic, Armenian, Chinese, Farsi, Hmong, Khmer, Korean, Russian, Spanish, Tagalog and Vietnamese) in addition to English.
SLO County Code: 40
DECLINED/REFUSED SURVEYS:
Please note the method to record Reason Codes for not completing a survey for consumers who are offered an online or a paper survey.
This can be done in two ways:
- Entered on last page of paper survey.
- Entered on UCLA's online tool. If used, documentation/entry of Reason Codes to be completed by the clinic administrative staff.
UCLA online tool instructions:
- https://uclahs.fyi/CPS2026Reasons
- Reasons for all four survey types can be completed on the same link.
- Select type of survey
- Adults (no QOL)
- Older Adults (no QOL)
- YSS (Youth)
- YSS-F (Families of Youth)
- Documentation/entry of Reason Codes must also include
- County Code = 40
- Date of Survey = date
- CSI County Client Number = Client Number
- County Reporting Unit = your clinic/site location (e.g., SLO Adult)
- Was consumer offered online or paper? Select either if offered both.
- Reason codes are used to document why a consumer does not complete the CPS Survey during the survey collection week.
- Refused (Ref) - Client refused to complete the survey
- Impaired (Imp)- Client is too impaired (mentally or physically) to complete the survey
- Language (Lan) - Client is unable to complete survey as survey is not in a language the client understands
- Other (Oth) – any other reason
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