Welcome to the Ohio E-Check Customer Service Survey

Question Title

* 1. On a scale of 0 (dissatisfied) to 10 (satisfied), please rate your overall experience at our facility today.

0

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

5

6

7

8

9

10

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* 2. Which testing location did you visit?

Question Title

* 3. What was the date of your visit?

Date / Time

Date