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1. How would you rate your satisfaction with the information or
services you received? (Required.)

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2. I got the information or service that I needed. (Accessibility)

 (Required.)

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3. The service or information was clear and understandable. (Clarity)

 (Required.)

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4. The staff was friendly and polite. (Courtesy)

 (Required.)

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5. The staff was well informed. (Knowledge)

 (Required.)

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6. The staff was helpful. (Helpfulness) (Required.)

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7. I was served in a timely manner. (Timeliness)

 (Required.)

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8. Location (Required.)

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9. Program (Required.)

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10. What was the date of service? (Required.)

Date

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11. Additional Comments

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12. Do you wish to be contacted regarding your visit? (YOU WILL BE CONTACTED WITHIN 5 BUSINESS DAYS) (Required.)

0 of 13 answered
 

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