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* 1. It is easy to get in contact with OhioMeansJobs.

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* 2. OhioMeansJobs Staff gets back to me in a timely manner.

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* 3. OhioMeansJobs listens to what I say.

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* 4. I understand the actions taken on my case.

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* 5. Overall I feel that I was treated professionally and respectfully.

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* 6. How did you hear about us?

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* 7. What is your employment status?

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* 8. What resources did you use today? Select All That Apply.

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* 9. How would you rate the following services at our OMJ one-stop today?

  Dissatisfied Neutral Satisfied
Knowledge of Staff
Staff Understands My Needs
Responsiveness/Helpfulness
Availability of Resource Room (Staff, Computers, Brochures, etc.)
Accessibility (Hours, Parking, etc.)

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* 10. How likely are you to recommend our services to people you know?

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* 11. Additional Comments:

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* 12. Date of Visit (Optional):

Date / Time

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* 13. Name of Staff Member I met with or talked to:

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* 14. Contact Information (Optional):

T