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Client Satisfaction Survey From Veteran Adviser
1.
Your Contact Information
First
Last
Email
Phone Number
*
2.
Your consultant's name
(Required.)
Alexis L
Andrae S
Anthony D
Ashlynne S
Blanca C
Brandon S
Cesar S
Christian M
Eddy T
Elizabeth C
Eloy G
Eric T
Ivan M
Jonathan R
Jose M
Justin J
Kimberly M
Lizza M
Matthew C
Nathan L
Ritchie S
Stephanie T
Susana I
Uriah A
Victoria R
Viviana B
3.
How would you rate the quality of our services?
1 Star
1 star
2 Stars
2 stars
3 Stars
3 stars
4 Stars
4 stars
5 Stars
5 stars
4.
How satisfied were you with our services?
1 Star
1 star
2 Stars
2 stars
3 Stars
3 stars
4 Stars
4 stars
5 Stars
5 stars
5.
How would you rate your medical evaluation?
1 Star
1 star
2 Stars
2 stars
3 Stars
3 stars
4 Stars
4 stars
5 Stars
5 stars
6.
How likely are you to recommend us to a fellow Veteran?
1 Star
1 star
2 Stars
2 stars
3 Stars
3 stars
4 Stars
4 stars
5 Stars
5 stars
7.
What would have made your experience with us better?
8.
Do you know of any Veterans that could benefit from our services ?
Place the name of the Veteran and the best method to contact them in the space below.
First
Last
Email
Phone Number
9.
Are you Interested in learning more about our other services?
Active appeal With the VA
VA Home Loans
Insurance
Investments
In Home Care
Credit Repair
Start up Business
Social Security Disability
