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1. What type of assistance did you receive from KCAO? If you are unsure of the type of assistance you received please provide the KCAO location you visited. (Required.)

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2. I was helped in a timely manner. (Required.)

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3. I was treated in a respectful and professional manner. (Required.)

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4. I was informed about other KCAO or community services. (Required.)

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5. When I came into the building, I felt welcomed. (Required.)

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6. The building I received services from was clean. (Required.)

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7. I would recommend KCAO to friends and/or family. (Required.)

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8. The staff had good knowledge of the KCAO services I requested. (Required.)

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9. I was able to communicate my needs. (Required.)

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10. Please provide comments on how we can better serve you.

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11. Based on the feedback you shared in this survey; do you wish to be contacted by a KCAO representative.

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12. If yes to question 11, please provide your name and the best phone number to reach you.

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