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* 1. From what program(s) did you receive assistance? (List all that apply)

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* 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.?

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* 4. How would you rate your overall satisfaction for with Little Dixie CAA

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* 5. Please share why you were or why you were not satisfied with Little Dixie CAA

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* 6. How did you learn of our assistance/service?

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* 7. In what county did you receive assistance/service?

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* 8. Which range includes your age?

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* 9. What is your gender?

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* 10. What is your race?

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* 11. What is your Ethnicity?

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* 12. What suggestions do you have for improving our products/services?

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