Please provide your candid response to the following questions.

* 1. Services were provided in a timely manner.

* 2. Services were provided correctly.

* 3. I am satisfied with the services that were provided.

* 4. From which department(s) did you receive your service(s).

* 5. I had a question(s) and the staff answered it appropriately.

* 6. Staff provided personal and friendly attention.

* 7. Staff was courteous and professional.

* 8. Staff communicated clearly with me.

* 9. How did you interact with us?

* 10. Please offer any additional comments or suggestions.

* 11. Would you like for us to contact you to follow up on your responses?

* 12. Please provide your contact information (not required).