Affinity User Satisfaction Survey

Thank you for taking the time to complete this anonymous survey.  To ensure the quality of this service, we request feedback on the referrals and materials you received. 

* 1. Did you receive information in a timely manner?

* 2. Did you utilize the resources?

* 3. Did the resources meet your needs?

* 4. How much time do you feel you saved using this service?

* 5. Did the referrals: (Choose all that apply)

* 6. Overall, how satisfied are you with our service?

* 7. Would you use this service again?

* 8. Please provide any additional feedback.

* 9. If you would like a Program Representative to contact you, please provide your contact information below.  By providing this information, you are giving permission to contact you and your information will be kept confidential.

Thank you for taking the time to complete this survey.

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