Lead Rental Registry Section Customer Survey

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* 1. MDE is committed to providing excellent customer service. Please help us by providing your feedback.

	poor	fair	average (neither good nor bad)	good	excellent
The service I received most recently from MDE was...	The service I received most recently from MDE was... poor	The service I received most recently from MDE was... fair	The service I received most recently from MDE was... average (neither good nor bad)	The service I received most recently from MDE was... good	The service I received most recently from MDE was... excellent

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* 2. My most recent interaction with MDE was related to

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* 3. The MDE Administration with which I interacted most recently was

Other - please specify name of MDE office or staff person.

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* 4. During this most recent interaction I was most satisfied with MDE's

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* 5. During this most recent interaction I was least satisfied with MDE's

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* 6. Please feel free to share any specific feedback, concerns, or suggestions for improvement.

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* 7. If you would like someone to contact you about your responses, please complete the information below. This is only needed if you want a direct response.

Name

Email Address

Phone Number