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* 1. County where you live:

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* 2. Choose which service(s) you have received from our agency:

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* 3. How did the staff treat you?

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* 4. Did our staff do what they said would be done to assist you?

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* 5. Were you assisted in a timely manner?

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* 6. Do you have any suggestions on how MOCAP can improve service to you?

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* 7. Do you have any recommendations for types of services MOCAP can offer in the future?

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* 8. Would you be interested in serving on the Board or a focus group?  If yes, please leave contact info below.

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