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* 1. Overall, how satisfied or dissatisfied are you with Gaston Adolescent Center, Inc?

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* 2. Which of the following words would you use to describe our services? Select all that apply.

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* 3. How well does our services meet the needs of people you refer?

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* 4. How would you rate the quality of the service?

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* 5. How responsive have we been to your questions or concerns about our services?

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* 6. How likely are you to refer clients to Gaston Adolescent Center, Inc again?

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* 7. How likely is it that you would recommend this company to a friend or colleague?

Not at all likely
Extremely likely

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* 8. Do you have any other comments, questions, or concerns?

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* 9. When contacting us by phone, your call is answered in a prompt and courteous
manner.

T