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* 1. Do you recall your recent contact with our agency?

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* 2. Which Program(s) Were You Working With

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* 3. Thinking on your most recent contact, how would you rate the agency staff you spoke or worked with ability to help you or to get you to someone who could help you?

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* 4. How would you rate the staff person overall knowledge of your problem or question? 

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* 5. How would you rate the staff person on being courteous and professional?

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* 6. How would you rate the representative on helpfulness, in other words, a willingness to assist you?

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* 7. How would you rate the staff you worked with on being able to help you resolve your issue/need?

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* 8. Thinking specifically of the program or service you've received, how would you rate your overall experience during your last contact with them?

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* 9. Please explain why you are satisfied / dissatisfied with your experience at Five County Community Action.

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* 10. Please provide suggestions for improvement.

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