1. Default Section

* 1. Enter your name and email address (leave blank if you wish to remain anonymous)

* 2. Purpose of visit (optional):

* 3. Comment avez-vous entendu parlé de nos services?

* 4. Name of staff member

* 5. Which service(s) did you use?

* 6. Please evaluate your interaction with that staff member.

  Strongly Agree Agree Neither agree nor disagree Disagree Strongly Disagree
Attentive
Knowledgeable
Helpful

* 7. Vous sentez-vous à l'aise de revenir au CDP / SAO pour de plus amples questions?

* 8. Do you have any additional feedback regarding the services you received?

* 9. Avez-vous des commentaires généraux pour le CDP / SAO (i.e. idée d'activité, de projet)?

MERCI! - THANK YOU!

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