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* 1. Name/Organization:

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* 2. How did you hear about us?

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* 3. Which staff member(s) did you interact with? (select all that apply)

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* 4. This survey is in reference to:

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* 5. The printed information (flyer, ad, brochure, etc.) was accurate and informative.

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* 6. The information or services received helped me reduce waste to the landfill.

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* 7. Staff’s response was prompt, professional, courteous, and helpful.

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* 8. Despite challenges with ACI, CVSan staff helped me resolve the issue.

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* 9. How would you rate our overall service?

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* 10. Are there areas we can improve upon?

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* 11. Would you like CVSan to respond to your comments?

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