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* 1. What is the name and jersey color of your team?

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* 2. What was the Date of your Game?

Date

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* 3. What was the scheduled time of your game?

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* 4. What Field Number did you play on?

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* 5. How many Referees were on your field?

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* 6. How satisfied were you with the performance of the CENTER referee?

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* 7. What did the CENTER referee do well during the match?

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* 8. What areas do you think the CENTER referee can improve on for future matches?

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* 9. Would you hire the assistant referee #1 again?

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* 10. Would you hire the assistant referee #2 again?

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* 11. Please provide additional comments on the Assistant Referees?

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* 12. Please provide your phone number:

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