* 1. What was your legal issue?

* 2. Overall, I am ____ with the service I received today

* 3. Please check the box(es) that comes closest to how you feel about your visit to the self help center today:

* 4. Please indicate what service you received: 

* 5. Why did you choose to represent yourself in this matter? 

* 6. If this program was not available, where would you have gone for help? 

* 7. What other service would you have found helpful today?

* 8. Please tell us how you think we can improve our services to clients?