* 1. What is your gender?

* 2. What is your age?

* 3. Time in Program

* 4. Survey was completed with help from whom

* 6. The Staff did a good job in reference to customer service 

* 7. All my questions were answered during intake 

* 8. Overall, are you satisfied or dissatisfied with the customer service you received from our company?

* 9. How likely are you to recommend our service to others?

* 10. How strongly do you recommend our company?

* 11. I was treated with with dignity and respect 

* 12. Please provide Us with comments and Feedback about the services your your received. 

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