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* 1. Please provide the reason for your contact with SMCHD (please specify the specific service, program, class, initiative, etc.):

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* 2. Overall, how satisfied are you with the customer service provided?

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* 3. SMCHD made it easy for me to handle my issue:

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* 4. Location of service:

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* 5. Do you have any additional comments or suggestions about our service?

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