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To ensure continuous improvement, we are requesting that you complete the following survey. Your participation is important in improving the quality and effectiveness of future services.

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* 1. Select your county:

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* 2. Was this your first time to receive services from this agency?

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* 3. Do you feel that you received fair treatment during the process of applying for assistance?

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* 4. Select what services you have used:

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* 5. Do you feel that you were treated with respect and dignity?

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* 6. Overall, were you satisfied with the experience?

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