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* 1. What location did you visit?

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* 2. When did you visit?

Date

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* 3. What was the purpose of your visit?

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* 4. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 5. If you had an appointment, did you like the appointment system?

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* 6. How long was your wait?

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* 7. Did you have all your required documents for your visit?

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* 8. How would you rate the service you received?

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* 9. Comments

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* 10. I would like a response

T