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Customer Satisfaction Survey
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1.
From what program(s) did you receive assistance? (List all that apply)
(Required.)
2.
What Little Dixie C.A.A.? employee assisted you?
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3.
What was your primary reason for visiting Little Dixie C.A.A.?
(Required.)
4.
How would you rate your overall satisfaction for with Little Dixie CAA
Very satisfied
Somewhat Satisfied
Not Satisfied
5.
Please share why you were or why you were not satisfied with Little Dixie CAA
6.
How did you learn of our assistance/service?
Friend
Internet
Radio
TV
Billboard
Other (please specify)
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7.
In what county did you receive assistance/service?
(Required.)
McCurtain
Choctaw
Pushmataha
Bryan
8.
Which range includes your age?
Under 18
18-30
31-50
51-65
66 or Above
9.
What is your gender?
Male
Female
Prefer Not To Answer
10.
What is your race?
White
Black/African American
Native Hawaiian/Pacific Islander
American Indian
Two or More Races
Prefer Not To Answer
11.
What is your Ethnicity?
Hispanic/Latino
Non-Hispanic-Latino
12.
What suggestions do you have for improving our products/services?
Current Progress,
0 of 12 answered