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Survey

Thank you for taking the time to complete this short customer service survey.

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* 1. Date

Date

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* 2. Please choose the Region Ten office location where you most recently visited:

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* 3. How would you rate the following?

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Staff are courteous.
Staff are helpful.
Staff are professional.
Staff return my phone calls.
I am treated with respect.
The atmosphere is welcoming.
I was attended to promptly.
The waiting area was pleasant.
This location is convenient.
This location is clean.

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* 4. How many times have you had contact with Region Ten staff in the past 12 months?

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* 5. How long have you been involved with Region Ten?

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* 6. Which customer type would you consider yourself? (mark only one)

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