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* 1. Please check the services you now receive or have received from PILC:

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* 2. I was treated in a friendly, caring, and respectful manner by the staff of PILC.

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* 3. Services were provided in a timely manner.

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* 4. The services met my needs.

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* 5. I was satisfied with the services provided.

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* 6. Additional Comments:

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