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* 1. How satisfied have you been in conducting business with us?

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* 2. How satisfied were you when we answered/addressed your questions?

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* 3. Have you been treated in a courteous and professional manner?

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* 4. Have our services addressed community needs?

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* 5. How satisfied were you with the quality of care by our counseling staff?

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* 6. Have our services reflected cultural sensitivity?

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* 7. Are you satisfied with our communication skills?

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* 8. Would you recommend our services to those who may need it?

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* 9. Please add additional comments below.

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