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1. Please provide your name and phone number so we can follow up with any comments, questions, or concerns.

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2. What service are you reflecting on?

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3. Date of Service

Date

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4. What KV team member assisted you?

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5. Overall, how would you rate the quality of your member service experience?

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6. How well did we understand your questions and concerns?

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7. How much time did it take us to address your questions and concerns?

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8. How likely is it that you would recommend KVFCU to friends or family?

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9. Do you have additional comments or feedback?

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