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* 1. In which county do you live?

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* 2. Staff was knowledgeable.

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* 3. Staff was courteous, respectful and sensitive to your situation.

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* 4. Staff was patient and took time to understand my situation.

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* 5. Staff answered questions and took an interest in you.

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* 6. Facilities were clean.

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* 7. You were comfortable during your visit.

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* 8. You were able to find our agency location easily.

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* 9. How did you hear about our agency?

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* 10. Overall rating of agency.

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