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1. Client Feedback Questionnaire

To help us improve upon our services, we would greatly appreciate your input and feedback on your experience with MIDLAS. Please complete the following questions and return it to your advocate once completed or you may take the form away with you and post it to us at a later date. We can even help you to complete the form if need be and you may remain anonymous if you wish.

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* 1. Date

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* 2. Who did you see at MIDLAS?

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* 3. Why did you come to MIDLAS?

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* 4. After I contacted MIDLAS, my appointment was

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* 5. MIDLAS gave me the information I needed.

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* 6. I understood the information given to me.

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* 7. The information or advice was helpful to me.

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* 8. MIDLAS staff treated me well.

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* 9. I am happy with what MIDLAS has done for me.

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* 10. If you are not happy with the service given to you by MIDLAS staff you are welcome to lodge a formal complaint. Do you wish to do so?

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* 11. How did you find the interview experience via skype?

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* 12. I would come back to MIDLAS if I needed help in the future.

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* 13. I would recommend MIDLAS service to my family and friends.

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* 14. How can we make our services even better?

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* 15. Is there anything else you would like to tell us?

We value our Clients here at MIDLAS so your feedback is very important to us. Thank you for taking the time to complete this questionnaire as your assistance and cooperation is very much appreciated.

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